How Do I Remove Juvederm Injected Into Cheeks?

Previously in CA, 1/3 of a vial of Rystalane to fill shallow acne scars in cheeks every 9 mths. Now, in LA I have seen two doctors, one Derm, one PS, 4 V's of Juvaderm, both missed the scars, which everyone can see. The result is they injected three 1/2 vials into my cheeks which were already full. I look like a chipmonk WITH acne scars remaining. I wanted NO volume. Also placed too much in my top lip now protruding over the bottom lip. UGLY! Help !

Doctor Answers 24

Sounds like the doctor in California provided you with the results you wanted...

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and it took less than half a you had an amount 12 times greater and of course that's too much...yes the material can be dissolved with injections of something called magically makes the juvederm/restylane disappear in minutes to days...even after it's been there a long while...if you were happy with the treatment in California, continue on that route...otherwise there are a number of other options available...see a reputable dermatologist or plastic surgeon to discuss them...some with subcision and some with laser...and always remember the cardinal conservative...even if your provider tries to talk you into something more than you know worked before

Las Vegas Dermatologist

Hyaluronidase to break it down

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I recommend that it is worth having your doctor try to break down the product with hyaluronidase. If it is still present, then this will help to break it down.

Remove Juvederm Injected Into Cheeks

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Hyaluronidase works well to dissolve the juvederm injected into cheeks. Your experience exemplifies the importance of finding and working with an experienced and expert physician injector who understands your goals. Your California injector was able to accomplish what you seek with a fraction of the product.

Removing Juvederm from the Cheeks

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Juvederm, like all hyaluronic acid fillers (e.g Restylane, Perlane, Teosyal), can cause swelling after injection, especially if the lips are treated. Give it 1 week to settle down ; if at that point you're unhappy, you can have your physician inject you with hyaluronidase to dissolve some of the Juvederm. I would consider some laser resurfacing such as the ProFractional laser, and possible CROSS therapy or subcision. 

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

Juvederm and Restylane for acne scars

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Hyaluronidase will dissolve Juvederm and Restylane fillers if you cannot wait for them to dissolve on their own.  Consider subcision with fractional laser treatments for improvement of your scarring.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

Too much Juvederm

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Your prior provider must have expertly superficially placed tiny drops of REstylane underneath your acne scars to lift them up but the recent placement of Juvederm was more of a volume effect that you didn't want. Juvederm can retain more water at times than REstylane.  Fortunately it does resolve but you can have hyaluronidase injected to dissolve some of the product that you don't like.  You couldn't have too much hyaluronidase injected per session so discuss the plan with your doctor.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

Removing Juvederm

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As expressed by others, Juvederm is not a permanent filler, therefore it will slowly disappear on its own after 6-12 months.  If you are very dissatisfied with the outcome, the physician can inject hyaluronidase to quickly dissolve the filler.

Alison Stallings, MD
Tarrytown Dermatologic Surgeon

Juvederm Removal

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Luckily for you, the effects of Hyaluronic acid (HA) based fillers like Juvederm and Restylane are both rapidly reversible with injection of the enzyme Hyaluronidase.  If shallow acne scars are your main concern, these can be addressed very effectively with a skin resurfacing technique (Dermabrasion or fractionated CO2 laser).

Too much Juvederm in acne scars

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Juvederm will resorb naturally, but if you absolutely can't wait, then it can be eliminated with the enzyme hyaluronidase. I would suggest that you return to your injecting physician for them to do this, since they know exactly where the product is. As an aside, I would recommend considering fractionated laser resurfacing, such as the Lumenis UltraPulse laser, to address the acne scars. I have personally achieved great results with laser treatments of acne scars.

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon
4.9 out of 5 stars 83 reviews

Removal of Juvederm injected in the cheeks

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Apparently you have some deep, or very fibrous scars.

For superficial  scars, fillers such as Juvederm can work well, but not always

Occasionally, doing a subcision before injecting  the filler can improve the chances of success.

Juvederm is Hyaluronic Acid and Hyaluronidase, a specific enzyme, can disolve it.

It is likely that a little Juvederm did in fact get under the scar, and after  removing the excess, adding a Traditional

or Fractionated Laser Resurfacing procedure may prove satisfactory.


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.