My left nasolabial fold might have too much Juvederm. How long should I wait to heal before addressing it?

The majority of swelling will resolve within 1-2 weeks.  However, some patients will have persistent swelling/edema that can last up to a full 4 weeks, especially if there was significant bruising.  My best advise is to be patient.  At the end of a month it you still are unhappy, hyaluronidase can be used to dissolve some of the product.  It is very uncommon for this to be necessary, and you will be suprised how much the swelling will go down over the next couple of weeks. 

Although swelling after filers can often resolve in about 7-10 days, it can take longer if there was particularly heavy bruising. This is often due to some bleeding that occurred under the skin (a hematoma) during the injection. This kind of bruising and/or swelling can take a bit longer to resolve than the usual week or so. I would suggest waiting for a week or two more before considering it a final evaluation of the treatment.

If at that time you and your physician feel that it is still over-corrected you might consider "reversing" the Juvederm with a medicine called hyaluronidase. This works very well to dissolve certain fillers (Juvederm, Restylane, Perlane) that are injected, but it essentially dissolves all of the filler that was injected into the area. At that point you would have to start over again with the filler on that side. The alternative is to wait it out so that as the filler is slowly dissolved naturally by your body, the over-treated side becomes more balanced.

Hope this helps!

Dr. Yalamanchili