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Juvederm and epinephrine: Just had lips enhanced with Juvederm XC.

Demogirl66Jul 6, 2018
I have crazy sensitivity to epinephrine. They used the one with lidocaine & I have been a mess since. Crazy anxiety, heart rate around 100, increased BP, today is day 3. How long will this last & how long for epinephrine to metabolize out of my system? I would have expected it to have been gone by now. I also got Dysport injections in my forehead...don't know if it has anything to do with it but am definitely reacting to something & I don't know what

Answers (3)

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Dr. Jonathan Kulbersh, MD
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Answered on Jul 10, 2018
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Dr. Bhupesh Vasisht, MD
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Benjamin Barankin, MD, FRCPC

In general, I prefer patients to avoid NSAIDs for at least 1 week before treatment. That said, some people need them, and that's fine. The main cause of bruising is the needle or cannula hitting a blood vessel. Being on a blood thinner like diclofenac, aspirin or other NSAIDs simply makes the...

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Benjamin Barankin, MD, FRCPC

I think its quite reasonable to start with 1cc/syringe of Juvederm or other filler for the nasolabial folds ; after 2 weeks, if you'd like more, you can always add more. Make sure only a highly trained expert physician injector such as a dermatologist injects you for optimal results and safety.

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Monika Soni, MD

No, filler is unlikely to migrate, especially months after treatment. I recommend following up with your injector about your concerns. If necessary, the filler can be reversed with hyaluronidase.

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Jonathan Kulbersh, MD

These may be fordyce spots. You may also have swelling which can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase. I hope this helps!

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Monika Soni, MD

It's too soon to tell what your final results will be. You have swelling, which can be asymmetrical, and last 1-2 weeks after lip injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert.

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Monika Soni, MD

The filler can be reversed with hyaluronidase and should be treated with topical vasodilators (nitropaste) as prevention. I recommend following up with your injector today.

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