I had Surgiderm applied to my nasolabial wrinkles two days ago. I am 31 years old, and as I tend to gesticulate quite a lot, I have marked "smile lines" and wanted to lessen them a bit with hyaluronic acid. I asked the surgeon for Restylane, but somehow I ended up having Surgiderm instead (I only knew once it had been injected and I saw the box it came in). I am aware that it's probably the same thing, but unfortunately, lasts a bit longer. Immediately after the procedure, I had what I'd consider "normal" reactions: swelling, redness, a tiny bit of bruising.
Hours later, I noticed that the filler was noticeable to touch and sight: I look slightly gerbil-like, and one can see faint worm-like lumps on either sides. But what made me miserable was realizing today what my new smile looks like. Due to the filler, my skin now folds in a different way, creating new wrinkles near the old ones! Is it common for hyaluronic acid fillers on nasolabial lines to cause new "smile wrinkles" around the filler? What should I do now?
Answers (2)
From board-certified doctors and trusted medical professionals
One of the best things about using the class of products called Hyaluronic Acids (HA's) (Restylane, Juvederm) is the fact that they are soft, natural, malleable, and reversible. This allows us to "go for it" with minimal overall risk. We use this class of materials over...
We can not be sure that the HA-dase is working for you. The look you may have may be the rediual hollow after loss of HA. Even tightly cross-linked HA, like Varioderm should respond the this enzyme. Perhaps consult another doctor or consider filling the area with Fat.
My first observation is that 1 week after the procedure, reassurance from the Doctor who injected the Juvederm is the best option to consider; the swelling is likely to improve. My second observation is that 2 vials of Juvederm, if injected into the area around the mouth and lips only, is a...
