Can Juvederm filler cause muscle augmentation around mouth corners?

Question

I had juvederme filler done in a prestigious clinic. After a few days a lump developed. It was treated with different injections to eliminate it but nothing helped. 2 years have passed but lump is still on my mouth corner. I was examined by a number of plastic surgeons in prestigious clinics. Surgeons told it is due to muscle augmentation caused by filler. Please, do not advise hyaluronidase injections since I have had 3-4 of them and do not advise the attendance of certificied plastic surgeons

Peter N. Butler, MD, FACS · Answer

HI, thank you for your question.  It is difficult to assess without a picture, however, has your treating provider considered the possibility of a foreign body granuloma? It seems as if the newer vycross fillers (Juvederm volbella, vollure, voluma) have a higher risk of this phenomenon, but it can happen with any dermal filler. Since Hyaluronidase has failed, there is a chance a steroid injection (Kenalog perhaps) into this area may improve the contour if it is indeed scar formation.

Jason Emer, MD · Answer

This needs an in-person evaluation. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Shaun Patel, MD · Answer

I have never heard of "muscle augmentation" after filler. It is impossible to comment on your case without seeing a photo or evaluating you in person.

Andy Shieh, DMD · Answer

Can you share pictures? I’ve never hear hyaluronic acid (Juvéderm) causing “muscle augmentation” as hyaluronic acid is usually absorbed “melts away” if you would by our body 6-12 months. It’s not a permanent materials. With that said, I have seen scaring of the skin and tissue by the injection sites after the fillers are placed. If you’ve already tried hyaluronidase in the past then we know for fact is not hyaluronic acid in your muscle fibers. One suggestion, maybe trying Botox in the nodule in the corner of your mouth since botulinum toxin can cause muscle to shrink (atrophy). If that doesn’t work then we know it’s not muscle related. I have a hunch that knot maybe scaring.

Can Juvederm filler cause muscle augmentation around mouth corners?

Answers (4)

Answer: Interesting

Answer: Interesting

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.

Can Juvederm filler cause muscle augmentation around mouth corners?

Answers (4)

Answer: Interesting

Answer: Interesting

Browse related questions

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.