I started getting Juvederm to treat my NL folds in late 2015 using 0.5 syringe to treat both sides of my face, since then have been using the same amt. I started noticing in 2017 a lump between my undereye and where my fold naturally is. Also, that my face seems more puffy and not as defined.The mouth area on both sides of my lips are more fuller, which makes my face look wider. My question is: is my injector not doing a good job with my anatomy or am I getting older and just need more filler?
February 26, 2019
Answer: Juvederm for nasolabial folds Hi
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February 26, 2019
Answer: Juvederm for nasolabial folds Hi
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February 7, 2019
Answer: Injector is great, given your history- more info needed with time-line pictures. OK, lets make some logical decisions. Firstly you notice a gradual change, not a change within a few days. This means that your injector has done a great job, as changes and puffy face occurred over 2017 to today. It can not be injector error. More information needed with time line pictures. As specialist we never make subjective assessments, just objective ones based upon history, examination and time line photography. 1. Was there any weight gain that could account for this?2. Hydration status with the before and current photos?3. Any other filler used?4. Filler migration is certainly on the cards, however if the filler was placed deep OR in the appropriate tissue plane this would be unlikely. Your injectors notes will be helpful.5. If it was Juvederm with Vycross, cross reaction antigenic morphing can be considered. The presentation of HA will change with time as its broken down. This is a rare but well known change with Vycross fillers. In most cases it presents as acute swelling- yours is too subtle for this reaction. 6. Your best avenue is to see your injector. He or she will be well versed in all the potential causes of filler reactions, and can start investigating as need be. Dr Davin S. Lim. Brisbane. Australia.
Helpful 2 people found this helpful
February 7, 2019
Answer: Injector is great, given your history- more info needed with time-line pictures. OK, lets make some logical decisions. Firstly you notice a gradual change, not a change within a few days. This means that your injector has done a great job, as changes and puffy face occurred over 2017 to today. It can not be injector error. More information needed with time line pictures. As specialist we never make subjective assessments, just objective ones based upon history, examination and time line photography. 1. Was there any weight gain that could account for this?2. Hydration status with the before and current photos?3. Any other filler used?4. Filler migration is certainly on the cards, however if the filler was placed deep OR in the appropriate tissue plane this would be unlikely. Your injectors notes will be helpful.5. If it was Juvederm with Vycross, cross reaction antigenic morphing can be considered. The presentation of HA will change with time as its broken down. This is a rare but well known change with Vycross fillers. In most cases it presents as acute swelling- yours is too subtle for this reaction. 6. Your best avenue is to see your injector. He or she will be well versed in all the potential causes of filler reactions, and can start investigating as need be. Dr Davin S. Lim. Brisbane. Australia.
Helpful 2 people found this helpful
