Too much Juvederm, or was it injected in the wrong place? (Photo)

Question

I had Juvederm for the first time. I was fearful to try my under eyes so we did my nasolabial folds instead to see how I like it, one syringe each side. There was no improvement and it feels like he injected the filler above the nasolabial line leaving a prominent bulge. The corners of the mouth look like I have cotton balls wedged against my teeth. Should I have it removed or wait it out? I'm concerned about the bulges causing jowls, or that Hyaluronidase might dissolve some of my natural HA.

Jason Emer, MD · Answer

After two weeks post injection, you should be able to see the optimal outcome of Juvederm. In this case, 30 days post treatment you will not see much, if any improvement. If you are unhappy I suggest reversing with hyaluronidase. Hyaluronidase is an enzyme that is used to dissolve fillers make of hyaluronic acid, which are a different pH than your body's own tissue.  Therefore, the enzyme cannot effect your normal tissue. Please consult with an experienced dermatologist. It appears you were not injected in the right place for a male with your type of facial structure.  Please see an expert. Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for your question and I can see your concern.  It appears that your Juvederm was placed too far to the side of your smile lines and will likely will not improve your appearance where you desired it to.  I would recommend having your filler dissolved with hyaluronidase to restore your previous appearance and then see an experienced injector to best help you seek nonsurgical facial rejuvenation.

Michael A. Zadeh, MD, FACS · Answer

Looks like the filler was injected in the wrong place. Injecting outside the nasolabial folds will make them look worse. I would find an experienced injector and have the filler dissolved with Hyaluronidase. It should not dissolve your natural HA.

Neda Vanden Bosch, MD · Answer

Unfortunately, your injector placed the filler oustside the folds, accentuating a very minor fold and giving you an unnatural result. I would ask for hyaloronidaze to dissolve up the filler, as juvederm can result in prolonged swelling in this area. Placed properly hyaloronidaze will not affect your natural tissue, but the consensus is that if some of your own hyaloronidaze a pics dissolves, it will be remade by your body very quickly. In the future avoid nasolabial fold injection, yours aren't that deep! Ask your injector about their experience level, especially with males, as treatment technique for men is slightly different than woman.

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Your photographs are very helpful.  It does appear that you received too much filler placed too far laterally.  I would suggest removing some product with hyaluronidase.  Gentle massage and tincture of time will also help.  Please be sure to see an experienced injector for an in-person reevaluation to review your before and after photographs, fully address your concerns and discuss your goals and expectations in order to determine the best course of action.  Best wishes!

Too much Juvederm, or was it injected in the wrong place? (Photo)

Answers (9)