Following Juvederm for chest wrinkles yesterday, I have long, lumpy lines worse than the wrinkles themselves, is this normal?

Question

Nelson Lee Novick, MD · Answer

While off-label, treating chest wrinkles and crinkles with both neuromodulators, such as Botox, Dysport, or Xeomin, and hyaluronic acid fillers, such as Juvederm Ultra XC and Restylane L, is common practice among experienced injectors. I have been doing so for nearly twenty years. In general, I prefer to treat the entire crinkly field (rather than chasing individual wrinkles) with a diluted concentration of Juvederm Ultra XC. This helps to subtly plump and smooth much of the crinkling and fine wrinkles within the field. Any remaining individual lines, i treat with a diluted concentration of Restylane L. Restylane has less of a tendency to draw water to it, so this works best when dealing directly with individual lines without leaving bumps, which is probably what is going on in this case. Next, a diluted concentration of Botox injected again in a field approach. This is done to work on the lower portion of the platysma muscle within the decollete region, which also contributes to the crinkling. Finally, when surface blotchiness and leatheriness are problems, as they often are from years of sun damage, a series of superficial peels, such as Jessner's solution is recommended along with the home use of sunscreens, retinoids and alphahydroxy acid-containing creams for maintenance. Consultation with a board certified aesthetic core physician with extensive experience and expertise in nonsurgical rejuvenation of the chest is a must.

Martin Jugenburg, MD · Answer

Juvederm injections in the chest is very uncommon and "off label". The lumpy lines you are speaking of could be from swelling which will subside in 1-2 weeks. If the lumps are still there i would book a follow up with your injector to have the area assessed.

Sean R. Weiss, MD, FACS · Answer

This use of Juvederm is not typical.  The skin of the chest is very different from the skin of the face.  The lines that you feel are possibly due to swelling, but probably due to the filler.  You may apply pressure or massage to the area and soften the lines.  If this doesn't help, Juvederm can be removed from the area by using hyaluronidase.

Harold J. Kaplan, MD · Answer

Hi Donjule.  The chest skin is not the same as the face and you are experiencing that now.  Juvederm is a great product, but VERY off label on the chest.  Although there may be some potential benefit, it's difficult to make look good in this area and will never get rid of the wrinkles on the chest in the same way as it can on the face.If it looks worse than before, you may consider Hyaluronidase injections to reverse it.  Good luck.

Suzanne Kilmer, MD · Answer

Noooo, unless its just some
increased swelling. If it doesn’t go down in a few days go back to your doctor
as it can be dissolved with hyaluronidase.

Following Juvederm for chest wrinkles yesterday, I have long, lumpy lines worse than the wrinkles themselves, is this normal?

Answers (9)

Answer: Juvederm for Chest Wrinkles

Answer: Juvederm for Chest Wrinkles

Answer: Juvederm in chest wrinkles.

Answer: Juvederm in chest wrinkles.

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.

Following Juvederm for chest wrinkles yesterday, I have long, lumpy lines worse than the wrinkles themselves, is this normal?

Answers (9)

Answer: Juvederm for Chest Wrinkles

Answer: Juvederm for Chest Wrinkles

Answer: Juvederm in chest wrinkles.

Answer: Juvederm in chest wrinkles.

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.