Track Marks Left After Juvederm on 10/02, What do I need to do? (photos)

Question

I am a huge fan of Botox and filler and have never, ever had issues. On October 2nd I had filler put in both cheeks for acne scars. The injector decided to do a "criss cross" pattern for maximum results. I unfortunately am left with lines running vertically on my cheeks! Please advise on what I need to do!!!!

Brian S. Biesman, MD · Answer

it appears that your injections may have been placed too superficially. Juvederm is not the best option for treatment of acne scarring but fortunately it can be dissolved. I would recommend evaluation by someone with extensive experience in the treatment of acne scarring. It is very possible that person will want to dissolve Juvederm. Best of luck!

Jason Emer, MD · Answer

This looks like the filler was placed too superficially. It can be reversed with hyaluronidase and you can try a different technique next time. For acne scars, I recommend a combination of lasers, microneedling/prp and subcision in addition to fillers. See an expert. Best, Dr. Emer

John J. Martin, Jr., MD · Answer

In people with thin skin, the fillers can sometimes create these lines under the skin.  Usually not because of the cross hatching but with linear threading.  If seen early on can sometimes massage them out.  At 2 months can have it removed with hyaluronidase.  It will eventually go away on its' own too.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry to hear of your JVD issues.  I would advise seeing your injector for an in-person examination.  If these marks are firm enough to indicate sufficient JVD placement the best option would be to dissolve it with hyaluronidase.  After nearly two months they are otherwise unlikely to resolve on their own.

Hardik Soni, MD · Answer

Thank you for your question and sorry to hear about your experience. The track marks you are experiencing is the cause of the filler being placed to superficially. At 2 months post treatment this will not resolve. I recommend having this dissolved with hyaluronidase. Remember to always see an expert injector. Best of Luck!

Camille Cash, MD · Answer

I'm sorry you are having issues with your treatment.  If the product is placed too close to the skin surface it is possible to see these "track marks".  I recommend for you to return to your injector for an evaluation.  You may need to consider hyaluronidase to dissolve the filler.

Lenore Sikorski, MD · Answer

Thank you for your question and photos. It looks like the filler was placed too superficial and resulted in the marks. I would recommend you return to have the filler dissolved with hyaluronidase.

Shaun Patel, MD · Answer

Sorry to hear about your experience. The track marks have occurred because the filler was placed too superficially. Eventually, this will resolve as the filler is broken down by the body. However, if you want to have it fixed sooner, the best option is hyaluronidase injection. See an expert.

Steven F. Weiner, MD · Answer

After 2 months, these lines are not going to go away. I would dissolve them with hyaluronidase. I think there are better methods to treat acne scars including Infini, Bellafill, subcision, laser resurfacing.

Michele S. Green, MD · Answer

It appears that your Juvederm was injected too superficially and that is why you have those lumps. You should have Vitrase dissolve the lumps.  Please consult an expert for the best cosmetic results.  Best, Dr. Green

Track Marks Left After Juvederm on 10/02, What do I need to do? (photos)

Answers (10)

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