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Juvederm, depending upon the volumetric amount injected, may have given a tightening effect to the skin envelope. In addition, there is some subtle scarring that can occur with any injection.
Juvederm is soft but it expands and fills in the laxity under the skin so your skin would feel tighter over the area injected. In the absence of any other symptoms, this is normal.
You didn't mention where on the nose you were treated. If it was used to volumize the tip of the nose, you could easily feel residual distention even 5 months later. Studies have shown long term collagen stimulation in areas of hyaluronic injections even after a year or more but this should not really feel any different than normal skin at a later date. What is reassuring that after hyaluronic injections the skin ultimately will return to baseline normal in time assuming no further product is injected.
Though hyaluronic acid fillers like Juvederm and Restylane are softer than others, you can sometimes still feel them under the skin. Especially in the nose area there is no fat to surround the filler and no extra skin, so you will feel it under there.
Thank you for your question and for sharing your concern. For dermal fillers like Restylane or Juvederm, I would not recommend waiting any period of time after stopping Accutane or even while on Accutane. This would be very different if I was combining dermal filler's with any energy device...
The pictures you provided are quite helpful and I agree with your assessment and the timeline is such that at this point it is unlikely that it will resolve and hyalurinodase injections will help resolve the problem, following whcih you should seek treatment with a different volumizing product,...
Systemic infection from Juvederm to the lips would be very unusual. If there is concern for infection see your plastic surgeon or injector.