Swelling from Juvederm Nose Fillers, Can this e Dissolved? (photo)

Question

hi, I had one syringe of Juvederm Ultra Plus injected about 48 hours ago and cant tell whether im swollen or whether the filler has leaked. I asked to have my bridge built up and my tip refined (to be less bulbous), and am not happy with the tip. It looks asymmetrical, wider, and lacks "nose-like" contours. I have no idea what to expect as the tip was "swollen" right after the injections. Does this look like swelling or filler? And if filler, can i dissolve selected features if needed?

Stephen Prendiville, MD · Answer

The main question I have is why did you have fillers injected in your nose in the first place? Fillers will not, in any circumstance, make a bulbous nasal tip more defined. The swelling you currently have is expected, but the indications for the procedure are questionable.

Jerome Edelstein, MD · Answer

You appear to have swelling. Fortunately, it should resolve over the next few days (although sometimes it can take a week or two).  If it doesn't please return to your injector to discuss your concerns.

Mia E. Skourtis, MD · Answer

You are almost certainly experiencing some swelling following Juvederm injection, as the characteristics of Juvederm are such that it absorbs water from the surrounding tissues right after it is injected.  The swelling attributed to this typically decreases over 72 hours.  In addition, the skin and tissues of the nose respond to the trauma of filler injections with swelling, which can be quite noticable over the contours of the nose.  I would recommend waiting 7-10 days for the swelling to decrease before making final judgements about your results.  At that time, you might consider a hyaluronidase injection to help dissolve the Juvederm.

	Juvederm has certainly been used to even out the contours of the dorsum of the nose, and help to camouflage subtle humps.  It is not common to use Juvederm on the nasal tip, as the contours of the nasal tip are soft, subtle, and defiined by the shape of the underlying cartilages.  Injection of Juvederm into the tip may certainly result in loss of tip definition, and a rounded, unrefined appearance.  If this is indeed the effect of your injection experience, hyaluronidase injections can be very effective in reversing the Juvederm effect.

	All the best,

	Dr. Skourtis

Jo Herzog, MD · Answer

Swelling is not uncommon, especially in nose. Give this two weeks and see what you have after the swelling goes down. At that point, you can always have this dissolved if you do not like the results.

Steven Wallach, MD · Answer

Fillers cause local swelling.  ALso you may be swollen form the immediate injection into the nose. I would give it a weak or two to settle down first before considering anything else.

Swelling from Juvederm Nose Fillers, Can this e Dissolved? (photo)

Answers (5)