Bad use of Juvederm? (Photo)

I am 24 hours post first juvederm injection in glabrlla. I went for Botox but dr said juvederm was more appropriate. I have small Needle marks, bruising, discomfort and a slight headache, and a pretty big lump. And one of the wrinkle lines is still very visible! Is this normal?

Doctor Answers 9

Juviderm and Swelling 24 hours After Injection

Dear Jen, Thank you for posting your photograph with you interesting question. It appears that you have some swelling and fine needle marks that are well within the realm of normal after 24 hours. Juviderm is a hyaluronic acid which is essentially a concentrated carbohydrate which attracts water for the first 24-48 hours. Usually, the fine needle marks disappear within the first 24-48 hours and the swelling is usually gone within the first few days. You can always call the doctor who performed the injections and return for a follow up visit. Best wishes, Dr. Richard Swift

New York Plastic Surgeon
5.0 out of 5 stars 23 reviews

Bad use of Juvederm?

Thank you for your question and for sharing your photograph.  In the first days after Juvederm injections it would not be uncommon to still see some needle marks and bruising with slight tissue swelling and smaller lumps.  Most dermal fillers need 1-2 weeks of time to soften and have their results appear very natural.  Hang in there and allow yourself a bit more time to assess your outcome.  Try some cold compresses to the area of injection and some anti-inflammatories to help with your current symptoms.  Best wishes. 

Nelson Castillo, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 68 reviews

Juvederm in glabella

Fillers will not completely efface all lines. Swelling is common and some bruising may occur. Give it a week or two to settle.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Juvederm in glabella

I would not say that Juvederm is a bad use for glabella treatment.  However the gold standard is Botox and then perhaps some Juvederm injections in the future to treat any residual lines that were not corrected by the botox.Small amount of tenderness, bruising and swelling are all common side effects after juvederm.  If you are concerned you should see your provider for a follow up.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 471 reviews

Juvederm injection

Swelling , Bruising, and small needle marks, are common after Juvéderm injection. After a few days swelling will begin to subside and bruising is well.  Typically in a week you should see your final results. Sometimes icing the area for several days after the procedure is helpful with both bruising and swelling. Botulinum toxin.( Botox cosmetic , Dysport , or Zeomin) will prevent  the muscle from contracting which is ultimately causing the wrinkle. This can help to prevent the wrinkle from getting worse over time. You may want to consider this as well in the future . See how you like your juvederm results first . It is possible to Use one or both products to achieve the results you are seeking. 

Joanne Lopes, MD
Virginia Beach Plastic Surgeon
4.9 out of 5 stars 21 reviews

Juvederm and Swelling

Swelling is normal after injections, especially in this area.  You cannot evaluate the full results yet.  It appears normal after the procedure but it is best to consult in person with your treating physician for evaluation.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Final Result After Juvederm

Thank you for your question and for sharing your photograph.  Sorry that you are having some concerns about your postprocedure appearance.  Based on your photograph, you appear to have normal postprocedure swelling and bruising present.  Please keep in mind that it will take 2 weeks to see your final result.  Swelling and bruising after filler injection is normal.  Icing can help for up to 48 hours postprocedure.  Arnica can also help to minimize postprocedure swelling and bruising.  Gentle massage may be beneficial.  My best advice would be to give it a full 2 weeks to allow for normal postprocedure swelling and bruising to resolve and to see your final result.  At that point, if you continue to have any concerns, please be sure to see an experienced injector for an in-person reevaluation in order to best address your concerns and to determine the best course of action.  Best wishes!

Christian N. Ford, MD
Cohasset Physician
5.0 out of 5 stars 31 reviews

Bad Use of Juvederm?

It is not a bad use of Juvederm. Botox alone or in combination with Juvederm can be used to treat facial wrinkles. Neither will completely eradicate facial wrinkles. The goal is to reduce their appearance.  I would advise you to  follow up with your doctor if you have any concerns regarding your injections. 

Millicent Odunze-Geers, MD, MPH
Sacramento Physician
4.7 out of 5 stars 6 reviews

Uneven results following Juvederm injections

Thank you for asking your question. It is normal for the skin to be slightly swollen and irregular one days following injections of Juvederm, wait another week before judging results and follow up with your doctor.
Good luck,

James R. Gordon, MD, FACS, FAAO
New York Oculoplastic Surgeon
5.0 out of 5 stars 144 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.