Swelling after 20 months Juvederm ultra plus. Will my face ever return to normal?

I'm sorry to hear of the issues you are experiencing. Typically the filler you had dissolves gradually over approximately one year. If there is still filler present that is causing swelling it may be best to have the remaining filler dissolved. I encourage you to visit with your injector for an evaluation.

Swelling persisting for 20 months after Juvederm Ultra Plus injections is not typical and requires prompt evaluation by the healthcare professional who administered the filler. While temporary swelling is expected immediately after the injection, it should resolve within a few days to a few weeks.If you are experiencing prolonged swelling, there could be several reasons for this, and it's important to consult with a healthcare provider. Possible factors contributing to persistent swelling may include:1. Inflammatory Response:• Some individuals may experience a prolonged inflammatory response to the filler material, leading to persistent swelling. This is not common but can occur.2. Product Migration:• The filler may have migrated from the initial injection site, causing swelling in surrounding areas. This is more likely with more fluid-fillers like hyaluronic acid fillers.3. Infection:• In rare cases, infection at the injection site can lead to prolonged swelling. This would typically be accompanied by other signs of infection, such as redness, warmth, or pain.4. Granulomas or Nodules:• Formation of granulomas or nodules, which are small, firm bumps under the skin, can occur as a reaction to the filler and may contribute to persistent swelling.It's essential to schedule an appointment with the healthcare professional who administered the Juvederm Ultra Plus for a thorough evaluation. They can assess the area, determine the cause of the prolonged swelling, and recommend an appropriate course of action.In some cases, additional treatments may be necessary to address the issue, such as hyaluronidase injections to dissolve the filler or other interventions based on the specific situation.Remember that individual responses to fillers can vary, and while complications are relatively rare, they can occur. Seeking prompt medical attention and guidance is crucial to addressing any concerns and ensuring the best possible outcome.