I had Subcision + Juvederm, and I now have lumps. Should I get hyaluronidase injection? Would Microneedling help at all? (Photo)

Question

The filler was Juvederm Ultra, and it has been 5 weeks. There's also a "Tyndall Effect" on one or two small spots. It has improved on its own with massaging, but it's still noticeable. I can't really go back to the original doctor, since I flew out of state to see him. I've met with two different dermatologists that advised I give it more time, and to massage the bumps more. They were reluctant to do a hyaluronidase injection.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately I do not think that after 5 weeks that you will see significant improvement until the JVD has dissolved spontaneously.  You can hasten this process with the use of hyaluronidase.  If these scars were the result of acne and/or showed improvement with stretch of the skin you may wish to consider Bellafill as an alternative filler for correction.  Hope this helps.

Sean Doherty, MD, FACS · Answer

Yes, you could go see someone to have the filler dissolved, but if so, make certain to see a really qualified injector. Dissolving filler is as much if not more of an art form than injecting it. However, if the filler was used to treat acne scars, you may simple want to wait until it dissolves on its own unless it really bothers you. Best of luck.

Sheryl D. Clark, MD, FAAD · Answer

Dear DeepFishing:Acne scarring is a complex issue that requires multiple treatment modalities for the best results. I believe you can let the Juvederm dissolve slowly because it will be flat before you know it and in the meantime it is stretching the fibroblasts in your skin which will help them to produce more connective tissue proteins. In the meantime, you can begin treatments with micro needling and PRP. If you still need fillers after 4 to 6 treatments, I would recommend you consider Bellafill for a more natural and long lasting filler result.All the best,   Dr, Clark

Zein E. Obagi, MD · Answer

Sometimes fillers can cause lumps if too much is injected or it is too superficial. Check back in with your MD to see if he wants to massage it out or inject it with a filler-reversing agent.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question DeepFishing. I understand your concern. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. Massage and hyaluronidase both work well for lumps after fillers. Massage is a more conservative option and is recommended first before the product is dissolved. This is because if the product is dissolved, usually more product needs to be injected. Please consult with a doctor for specific recommendations. Good luck!

I had Subcision + Juvederm, and I now have lumps. Should I get hyaluronidase injection? Would Microneedling help at all? (Photo)

Answers (5)

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