Lumps after Juvederm XL placed in nasal folds on 9/30. Both sides are lumpy?
Doctor Answers 6
I'm sorry to hear about your experience. In my opinion, you have 2 options:
1) Do nothing. HA-fillers are designed to only last about 6 months and will dissolve on their own.
2) If the nodules are that obvious, then Hyaluronidase can be injected in small quantities to gently reduce the excess filler.
One more thing, the correction of complications from fillers rarely involves injecting more fillers. The beauty of the majority of those on the market is that they have a temporary effect and will subside over time.
Reverse if Unhappy--Try a different technique next time
It may dissolve all of your filler, but if you're unhappy with your results it may be worth it to reverse. Then you can try a different technique next time. Best, Dr. Emer
Lumps and filler
Hyaluronidase can dissolve the lumps, but it may also dissolve some of the other filler. The choice is yours. Good luck.
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Not happy with Juvederm results after 3 weeks
Hyaluronidase is not painful when mixed with lidocaine as I always do. It can be used in small quantities to dissolve some and not all of the filler but it is not exact. I would do this since you are not happy. I've never treated lumps with more filler.
Lumpiness after fillers
Persistent lumps after Juvederm injections can be dissolved with hyaluronidase. It is true that more filler may dissolve than you want, but I suspect this tradeoff will be worth it if you think you look worse after the injections.
Sorry to hear about your experience with Juvederm. It is uncommon for filler to migrate and I have not seen it in any of the thousands of patients I have treated although it is certainly possible. The answer would be to remove the filler with hyaluronidase. It is true that hyaluronidase is not specific and may remove more of the filler then you intend. The best option for you is probably to have the filler reversed and then go to an experienced injector for reinjection. Hope this helps.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.