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Posted photo DOES NOT show lymphedema... Plus after 2 years ALL the HA has been metabolized.. Seek IN PERSON opinions....
It is difficult to see even mild edema in your photo. I can see a slight erythematous (pink/red) papule (s). I recommend you see a dermatologist in person to evaluate what is happening on your chin/face. It is possible you had a granulomatous reaction or scar from the filler which can cause edema by compressing a small vein. Treatment would be more hyaluronidase and a little steroid. If done too aggressively you can get atrophy or too much thinning of the skin, so I recommend an experienced dermatologist.
It's rare to get an indentation after a cortisone injection but it can happen. It goes away on it's own but it can take a few weeks or months on occasion depending on the severity. Juvederm is a great hyaluronic acid filler but all these types of fillers can cause the Tyndall effect of blue...
Hitting your face won't be sufficient to move a filler around...just think of the sustained pressure we use to mold the material immediately after it's injected...and within hours it's even more difficult to move...and of course sleeping applies sustained pressure without compromising the filler...
Admittedly, these "accordion" lines that are produced with smiling (sometimes referred to as parallel laugh lines around the mouth) are difficult to treat. However, I have found that the combined use of a series "skin booster" filler injection treatments combined with microdroplets of Botox (or...
Hi @RazorG. Yes, you are correct--those are nasolabial fold lines, but you would benefit from cheek fillers to help soften the appearance of the nasolabial folds. Best of luck, Dr. Nima
Best to have your dermatologist assess the area in person. There are a few ways to flatten down what may be a scar from an old pimple, but best to make sure there isn't something else going on there.
So, the treatment of a lump after injection of a hyaluronic acid is pretty straightforward. You can use hyaluronidase, an enzyme that breaks down hyaluronic acid, to remove the bulge. As far as a permanent treatment of the fold, I would not recommend it. There is an adage -...