Juvederm lumps not dissolving after two years.

Question

I had Juvederm injected into my cheek area for volume. This resulted in a lump on each cheek which then traveled down my face over a two year period. These lumps are not dissolving. What should I do?

Martin Jugenburg, MD · Answer

I would agree that you should confirm what product was used to add volume to your cheeks. Juvederm normally only lasts for 6-12 months before your body breaks down the product.    If it is Juvederm, you can have it dissolved with Hyaluranidase.

John J. Martin, Jr., MD · Answer

This story doesn't make much sense.  Juvederm should dissolve after about 9-12 months in almost everyone.  So it would be very unusual for it to still be there.  Also, it doesn't migrate after injection - maybe if you push on it right after injection you can get it to move but not from one area of the face to another.  And it should not produce a firm nodule.  So wondering if you had something other than juvederm injected??  You need to see someone who can inject some hyaluronidase.  If it is Juvederm it will get better.

Monika Soni, MD · Answer

Thank you for your question. Lumps can occur if the Juvederm is not injected correctly, however it is unusual for the lumps to migrate down the face and not dissolve after 2 years. Juvederm typically dissolves after 6-12 months. I suggest contacting your injector to confirm what product was used to add volume to your cheeks. If Juvederm was used, you can have the lumps dissolved with hyaluronidase. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. Lumps can occur if the Juvederm is not injected correctly, however it is unusual for the lumps to migrate down the face and not dissolve after 2 years. Juvederm typically dissolves after 6-12 months. I suggest contacting your injector to confirm what product was used to add volume to your cheeks. If Juvederm was used, you can have the lumps dissolved with hyaluronidase. Best of Luck!

Ross Stutman, MD · Answer

While lumps can occur if the Juvederm is not injected properly, it is unusual for the lump to travel down the face and even more unusual for the lumps to not have dissolved by 2 years.I recommend that you review these results with your physician. Likely the best first treatment to attempt would be to use a Juvederm dissolving agent. If this fails to treat the lumps, then the lumps are due to something other than the Juvederm product itself. Rather, it may be an inflammatory reaction to the Juvederm known as a granuloma, or other more unusual problem. Best Regards,Dr. Stutman

Martie Gidon, MD, FRCPC, FAAD · Answer

Please return to your injector for assessment.  It would be unusual for Juvederm to last 2 years and to travel.  If it is Juvederm, it can be dissolved.  After 2 years, most patients do require more filler to plump up the cheeks again.  You should have treatment with an experienced cosmetic dermatologist or plastic surgeon for best results.

Steven Wallach, MD · Answer

While is is rare for juvederm to last 2 years, the more superficial it is the more potential for it to stay around. Are you sure it is juvederm?  If it is sometimes it can be removed or dissolved.

Joan San Miguel Moragas, MD, DDS · Answer

Juvederm (Hyaluronate) filler should have been dissolved in 1 year, aproximately. It is possible that a delayed foreign body reaction has occurred, so what you have could contain small drops of Hyaluronate surrounded by scar-type tissue. If it does not disappear you should visit your plastic surgeon to make a proper diagnosis and see which are the treatment possibilities.

Richard O. Gregory, MD · Answer

It is likely that the lumps after 2 year are not Juvederm.. Hyaluronic acid in the form of Juvederm or Restylane is generally thought to be absorbed after a year unless it is the Voluma form of HA which was designed to last up to 2 years .  The U of Michigan has documented collagen deposition around the injection site of HA which could last longer. This can be treated with injection of steroids, conservatively and usually needing more than one treatment.  If there is a chance this could be some injectable other than HA then all bets are off.

Robert Savage, MD (retired) · Answer

Are you sure it was juvederm?Juvederm is usually long gone after two years and usually doesn't migrate.I would check with your doctor on exactly what was used.If indeed the problem is juvederm,there is an "antidote" enzyme that your physician can inject to help it dissolve.Dr Savage

Juvederm lumps not dissolving after two years.

Answers (12)

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