I had Juvederm injected into my nasolabial folds yesterday. One side looks like swollen pillow face. What shall I do? (Photo)

Question

Can this be fixed? I’ve been told to add cold compress, but I believe it’s too much filler

Kian Karimi, MD, FACS · Answer

Thank you for sharing your question. Since your filler injections were only several days ago, you are likely still very swollen. I recommend waiting a full 2 weeks before evaluating your results to allow for all swelling to resolve. At the 2-week mark, if you are still unhappy with your results, you can follow up with your injector. There is an enzyme called hyaluronidase that can be injected to dissolve the existing filler. While this will not likely be necessary, it is a good option to have in case your swelling does not resolve. If you feel your symptoms are escalating, you should contact your injector sooner for evaluation.
Best,
  
Dr. Kian

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. You have swelling, which can be asymmetrical, and last 1-2 weeks after filler injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Munir Somji, BSc, MBBS · Answer

Hello, this is likely to be swelling associated with your treatment. If after 2 weeks it hasn’t settled then please see a surgeon for reversal. Cold compress can help but I would let it settle naturally.

Jonathan Kulbersh, MD · Answer

It's too soon for final results. Swelling can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Michelle Jones Singer, MD · Answer

It takes time for the swelling to resolve after an injection of a filler, especially if the injection was just done yesterday. I suggest you call your injector and discuss the concern you have and get an examination of the area. You should be evaluated for a possible infection or an allergic reaction in the injection site. If your injector does not think that there are any signs or symptoms of infection or an allergic reaction, give the area at least 10 - 14 days for the swelling to go away. If it is not resolved at that time be re evaluated.

Monika Soni, MD · Answer

Thank you for your question.  Swelling is very common after getting filler injected and can give an unwanted appearance only temporarily.  I would recommend to follow up with your injector if you are concerned, but most likely you will need to wait 2 weeks for the swelling to go down to see the final result.  At that point a consultation with your injector is advised.  Best of luck.

Kambiz Golchin, MBBS, FRCS (Eng), FRCS(ORL-HNS) · Answer

Dear Kells79,
Hello & thank you for your question!  I'm sorry to hear of your concern. It is not uncommon for swelling to go down unevenly to start. Usually, you should wait about 8-10 days post treatment to see complete results. If you are still concerned after this time you should contact your injector for a review appointment, where if needed, it may be possible to dissolve the area with Hyaluronidase. Always use a qualified injector and make sure you discuss any allergies you have to rule out any contraindications.
Hope this helps!
Best Wishes,
Mr Kambiz Golchin

Anthony J. Taglienti, MD · Answer

Thank you for your question. It is very normal to have swelling after an injection. Moreover, sometimes there can be uneven swelling on one side of the face - you are way too early to tell if you had too much filler placed in one area. I would suggest just letting things settle. If after at least 2 weeks you still feel or look asymmetric then you should reach out to your injector. Best of luck!

Spa 35 - Boise · Answer

Swelling and bruising can skew results initially. I would recommend waiting until the 2 week mark to judge your final results. If you are at all unhappy at that point, then return to your injector. Good luck!

Blue Medi Spa - Sherman Oaks - Account Suspended · Answer

Thank you for your question.  Swelling is very common after getting filler injected and can give an unwanted appearance only temporarily.  I would recommend to follow up with your injector if you are concerned, but most likely you will need to wait 2 weeks for the swelling to go down to see the final result.  At that point a consultation with your injector is advised.  Best of luck.

I had Juvederm injected into my nasolabial folds yesterday. One side looks like swollen pillow face. What shall I do? (Photo)

Answers (11)

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