Horrible results after Juvederm 3 days ago in my cheeks. Any suggestions? (photos)

Question

Originally she was supposed to fill my nasolabial folds. Only one was filled (she was supposed to do both) so I had to go back for another. She said she was going to inject it into my cheek to help lift the face. Now I look horrible and I'm upset and embarrassed. I smiled in a way to show you how my cheeks look. Can this be fixed without speeding another 1500 bucks? I'm embarrassed to smile. There are a few lumps. I look like a lumpy chipmunk. My cheeks aren't even with each other anymore.

John J. Martin, Jr., MD · Answer

You should wait a bit longer since you are still inflamed and even bruised.  So it may improve.  If not you can have some hyaluronidase injected to dissolve the Juvederm.  In the cheek it is best to put the filler in right on top of the bone to give structure and fullness without being visible.  This may be a little too superficial.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions and photos. Sorry to see your bad results. It is possible to dissolve the Juvederm with Hyaluronidase and refill with another product. Make sure you are being treated by an experienced injector for best results. Good luck.

Martie Gidon, MD, FRCPC, FAAD · Answer

Swelling and bruising can last for at least one week after Juvederm filler.  It can take two weeks to see the full result.  If you are still not happy at that time, please return to your injector for assessment.  It is important to have fillers injected by an experienced cosmetic dermatologist or plastic surgeon in order to achieve the best possible results.

Michele S. Green, MD · Answer

It appears that you are very bruised from the injections still and swollen. I would wait another two weeks to re-evaluate the situation.  It also appears that the product was placed too superficially.  Please consult a board certified dermatologist for the best cosmetic results.  In the future, Juvederm Voluma should be injected deep to have nice results.  Best, Dr. Green

Gustavo A. Diaz, MD · Answer

Sorry to hear that you are not happy with your results. I would recommend that you wait 10 to 14 days before you attempt to do any evaluation of the area. Make sure that the injector is a board certified Facial Plastic Surgeon or Plastic Surgeon. Do not get more injections if the injector is not a physician at this stage. If the injector was a nurse or PA, please try to see if you could get the evaluation of the physician in charge. If all fails, then look for a second opinion with a board certified Facial Plastic Surgeon or Plastic Surgeon.Hope this helps,Dr. Gus Diaz

Horrible results after Juvederm 3 days ago in my cheeks. Any suggestions? (photos)

Answers (5)