Should I dissolve my botched jawline filler or wait it out? (Photo)

Question

I got Juvederm Voluma 2 weeks ago in one particular area in my jawline to “smooth” It out and it left my face looking lumpy and saggy. Do I leave it alone to dissolve or do I get injections to dissolve? Is it possible she damaged my facial tissue and I’ll look like this forever?

Michael A. Persky, MD · Answer

Hi ANM,
Your injector has masculined your jawline.  I would recommend an in person evaluation to determine your best course.  It may involve dissolving some of the filler, or we may decide to give it a little more time to settle.  Please feel free to call our office to schedule a consultation either in person or virtually at your convenience.  Good luck and be well.
Michael Persky, MD
Encino, CA

Nima Shemirani, MD · Answer

Hi @ANM11. If you are unhappy with the results, I suggest you dissolve the filler with Hyaluronidase. I recommend seeking treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

I dont see it looking that bad, it appears to be mildly swollen, voluma takes 2-4 weeks to really settle.  RF treatments and lightstim can help smoothen it out if you notice it really being "botched."  I have seen many botched jobs and this really isnt one of them. If you are truly unhappy it can easily be reversed with hyaluronidase. Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

Thank you for your question. If you are unhappy with your filler results then you can have it dissolved with Hyaluronidase. Voluma can be quite difficult to dissolve sometimes and multiple sessions of Hyaluronidase will likely be needed. Voluma takes about a year to dissolve on its own naturally. Make sure you are under the care of an experienced Physician. Best wishes.

Leslie Pickens, MD · Answer

It is still very early in the healing process after your injection with a more volumizing filler like Voluma.  Your doctor can still massage it while it is malleable especially if warmed with a compress for a few minutes.  It would be good to see your before photos. Give is some time to see how it looks in a few weeks if you can wait and then compare before photos your doctor took side by side to some after photos then discuss with your doctor.

Ali Sherzoy, MD · Answer

First to alleviate your anxiety, it is unlikely that your facial structure has been damaged. Even if you do nothing overtime Juvederm get dissolved.For faster result a little more Juvederm could be added in front and at the back of the lump to give it a smoother look. And yes you could dissolve it but the result is less predictable because Hyaluronidase dissolve Juvederm and possibly some of your natural Hyaluronic acid. I have had success by injecting very small amount but multiple times to get more predictable result.

Leonard Grossman, MD · Answer

I believe I understand what it is that you're referring to. You like the appearance of the crisper right mandibular line and you're not happy with the left side. In more than 90% of all individuals the left side of the face is rounder and wider. If you carefully examine your pre-treatment photographs you will find the same. The choice as to how to proceed is ultimately in your hands. I hope this helps and good luck from New York City plastic surgery

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