I Have New Bumps/Ridges Above Juvederm Injection Site on Forehead, What Went Wrong?

Question

10 days ago I went to my plactic surgeon for a minor facial "tweak" procedure and another round of Juvederm in nasal labial folds. I also had him inject the 111's, and now have vertical bumps/ridges ABOVE THE INJECTION SITE! Prior to that my forehead was cometely smooth when my face at rest. Now I have ridges above the injection site. I've had Juvederm injected here before (different Doc 1yr ago) & it worked like a dream in conjunction w/ Botex. What could have possibly gone wrong & what c JT

Kenneth Dembny, II, MD · Answer

The correction of creases and well-defined lines requires that Juvederm (or another hyaluronic acid (HA) product) be placed superficially in the dermis. In many other instances and areas of the face these HA products are placed in the deep dermis or subdermal plane.

	Creases do not expand upward easily and therefore can be somewhat difficult to correct.  To smooth creases you often have to try to push a bit more filler into this narrow superficial plane just below the crease in an attempt to force it upward. In this superficial plane there is a limited amount of space that will accept the product, and filling in excess may produce a slight ridge or bump.

	Part of the way HA products work is by binding water. This causes swelling and increases volume at the site of placement. As a result, the swelling that occurs in superficially placed HA may be more visible. Such swelling will usually subside in a few days but could last two weeks.

	Either way, if there is a bit of excess product, or just prolonged swelling, some gentle massage over the area may speed resolution. If this does not result in improvement, then hyaluronidase maybe injected to breakdown the excess HA.

	Serial treatments may be helpful for correcting stubborn creases, which will often show more improvement with subsequent injections.

	Best wishes. Kenneth Dembny

Joseph Serota, MD, FACS · Answer

If it has been longer than a week and you are still feeling lumpy, than it is likely that too much product was used. Ak your provider about an enzyme that can dissolve this issue for you.

Jo Herzog, MD · Answer

Photos would be most helpful but it sounds like the juvederm is too close to the surface. This can be corrected with hyaluronidase. Your doctor will be be able to do this and you should be fine.

Sheri G. Feldman, MD · Answer

It sounds like your Juvederm was placed too superficially or your injector used a bit too much.  Juvederm can be dissolved with Hyaluronidase.  This works extremely well and will not harm your normal skin.  Please return to your injector to be evaluated.

Michel Siegel, MD · Answer

Pictures would be helpful. But from your description it sounds like the Juvederm is too superficial on the skin. You may want to consult with him, so he can take a look.

I Have New Bumps/Ridges Above Juvederm Injection Site on Forehead, What Went Wrong?

Answers (8)

Answer: Juvederm and Ridges

Answer: Juvederm and Ridges

Answer: Bumps

Answer: Bumps

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Everything you need to know about Juvederm

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I Have New Bumps/Ridges Above Juvederm Injection Site on Forehead, What Went Wrong?

Answers (8)

Answer: Juvederm and Ridges

Answer: Juvederm and Ridges

Answer: Bumps

Answer: Bumps

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.