Will Vitrase Injection Help with Juvederm Lump?

As I related in an earlier post, I had Juvederm injected into the upper forehead area about 10 days ago. To say this is a nightmare would be an understatement. Instead of filling the wrinkle area, I am left with a visible bump. In addition, the track from the needle remains visible, and finally, unless I am going crazy, at a downward angle from the injections sight, there are three reddened spots that are connected to the needle track.

Thoughts? Prayers? Will getting a Vitrase injection help this or make it worse? Should I just let it go with time?

Doctor Answers 3

Juvederm and forehead wrinkles

I am sorry that you are unhappy with your treatment. If the bump is still present and you see track marks of a bluish hue you  may want the product dissolved by having hyaluronidase injected.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Juvederm for Forehead Wrinkles - lumps and bumps

The forehead lines are more challenging to fill with cosmetic dermal fillers because of the problems you are describing.  Products, such as Juvederm, are more difficult to place and smooth in these areas and requires meticulous technique.  Being that it is ten days post-treatment, you may want to allow for several more days before considering Vitrase/hyaluronidase injections.  Areas such as the forehead and temples require more time to smooth and fill.

If you and your practitioner agree that hyaluronidase is a good option, it should not take weekly injections to resolve the product.  In our experience, one visit is typical. 

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.3 out of 5 stars 6 reviews

Vitrase for Juvederm bump

Although the bump will eventually self-resolve, this could take months.  Massaging the area would help flatten the lump out.  Weekly injections of small volumes of Vitrase would be beneficial.  I usually suggest returning to the treating physician to express your concerns. 

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.