Can Juvederm Ultra Plus Injections in Nasolabial Folds Cause Broken Capillaries and Redness?

Telangiectasias are not common with fillers.  Lumps can occur and may be due to superficial placement or improper molding of the product.  If you are unhappy with the filler, it can be dissolved with hyaluronidase.

Typically puffiness from a filler lasts no more than one week. An allergy to Juvederm is extremely rare. If you have swelling lasting 2 more weeks ( a total of 6 weeks) I would encourage you to have the area treated with hyaluronidase to remove as much of the product as possible.

In regards to the "joker's grin", did you have any neuromuscular block such as Botox or Dysport placed in your lower face? These can sometimes relax the depressor angularis oris - DAO (muscle that pulls the corner of the mouth down) while this usually gives a pleasing subtle lift of the corner, sometimes it can lift too much giving that "joker" appearance. If you had no neuromuscular blocks placed at the DAO, I'm wondering if you had nerve blocks or some irritation of the nerve in that area of the jaw, this would usually resolve with time.

In regards to broken capillaries occuring on the skin after filler, this is not routinely seen but can occur anytime an individual has swelling as you have. These vessels can be readily treated with the VBeam laser, but may resolve with time and may be improved with topical anti-inflammatory products. Even over the counter products such as a Nia product might be helpful. Gentle prescription products that help with vessels include: Finacea, and possibly Epiceram.

Hope this information is helpful.