Is my facial bloating from Juvederm or a poor lifestyle?

Question

Hi! I got 3 vials of juvederm two months ago and another 3 five days ago. I am shocked at how bloated my face looks. Even though I weight the same, I look awful compared to May, when the photos with darker hair were taken. Is the puffiness the result of juvederm? Or the result of a poor lifestyle? (Six months ago I got into a stressful relationship, started smoking, stopped eating fruits and vegetables, and stopped working out.) How do I make it go away?

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  Although it is hard to say if it is the filler without proper before and after photos, it may be a combination of both issues.  One thing for sure is that swelling and/or bruising can create a "bloated" look and can take up to 2 weeks to subside.  Juvederm can be dissolved with hyaluronidase if you are not satisfied with your results.  I suggest following up with your injector if you are still concerned after the 2 week mark. Of course, smoking cessation, a healthy diet, regular exercise and limiting alcohol are all great ways to keep a healthy lifestyle.  Best of luck.

Harold J. Kaplan, MD · Answer

Hello MM.  It's impossible to address your concerns without photos, but we often hear from patients that have been to other injectors that they feel "overdone".  Developing a trusted relationship with a skilled injector is a process and in our practice, we like to move conservatively through that process by starting with small projects and building on them.  If you feel your face is bloated from the injections, your best bet is to go back to the before photos and take a look at where you were injected.  If it does not look natural to you, then you can either ask for reversal of the product (hyaluronidase injections) or just wait for the product to metabolize and start fresh with a new injector.  Best of luck.

Martin Nimmo, BDS, MFDS, RCS(Ed) · Answer

Without before and after photographs, it is impossible to comment on whether this is as a result of your treatment or lifestyle. If you have concerns relating to your filler treatment, it would be wise to arrange a follow-up consultation with your Injector and assess your before and after photographs to establish the likely cause of this bloating, then agree upon the appropriate intervention required.

William Marshall Guy, MD · Answer

Hello Mmdroeger,Without seeing photos it is hard to comment.  However, you indicated within two months you have had 6 syringe of Juvederm.  That is quite a large amount.  Given how much volume you've had injected it is possible that if you feel your face is more puffy it is the Juvederm.  To verify this you can have it dissolved with hyaluronidase.  If that resolves your problem then you have your answer.  I would recommend you receive your injections from one of the core aesthetic physician injectors to help avoid an overdone look.I hope this helps and good luck.

Michael Sinclair, MD · Answer

All Hyalaruronic Acid Fillers, including Juvederm can cause swelling. They all tend to absorb water after they are injected. If they are placed in a deep area, they are great for replacing lost volume. If they are used more superficially, they can be associated with swelling and even bruising. Some swelling that occurs within a few days after the injections should be expected. This can be related to needle trauma which is normal and it usually goes away with just ice in a few days. If too much filler was used, then you may look swollen or puffy for a few months. If that is the case, your doctor can dissolve some of the juvederm with a chemical called Hyaluronidase. 6 tubes of juvederm may be too much for you, but it may not be too much or even not enough! To be more specific, I would need to see some before and after pictures.
In the future, you may wish to add the Juvederm more slowly, maybe 1 or 2 tubes per month until you have the desired amount of correction.

Sachit Shah, MD · Answer

I have seen this happen immediately post treatment. Usually it does not happen 3 months afterwards. Poor lifestyle can contribute to the bloating feeling. I think you consult your primary care physician. 
Best Wishes

David A. Schlessinger, MD · Answer

It is difficult to answer this question without photographs. However, Juvederm can cause swelling. Due to the timing of the injections and your symptoms the bloating is most likely relatted to your injections. Please speak to the MD that injected your face. Smoking and a poor lifestyle can cause inflammation and make this worse.

Linda J. Banta, MD · Answer

Results take 2 to 4 weeks. Please go back to your injector after 2 weeks and discuss the results . Swelling after juvederm is normal and can take 2 to 4 weeks to resolve.  A balanced and healthy lifestyle is always the best beauty tip. Hope you work all that out soon .

Glow Med Spa - Encino · Answer

Hello!
Thank you for your question and for providing pictures. It is hard to determine exactly what is going on without knowing what specific filler you used and where it was placed. However 5 days after treatment there is still some swelling and the true results of what you received will not be apparent until about 2 weeks after treatment. If after that, you are still not pleased with your results, you can get the filler dissolved with hyaluronidase. After that you can determine exactly how many syringes work for you and will provide the look you are trying to achieve. 
Best of Luck!
Glow Med Spa Encino

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