Swelling or Too Much Juvederm?

Dear Cindy,
A single vial of Juvederm in the areas you have described seems reasonable and should not result in an abnormal amount of volume enhancement in your injection area. Of course this will have to do with the degree of the marrionette lines you started with and the size of the area your doctor injected with Juvederm. I would give the office a call. There is still plenty of time to manually smooth out any areas where there simply is too much filler, or your doctor can reassure you that your "Godfather" appearrance is normal post-injection edema. If there is too much filler, there is always Hyaluronidase.

Some swelling, redness, discomfort and possibly bruising during the first few days following the injection. Most of this settles down within 3 days. Occasionally, the swelling can last up to one week. Please wait until then to get a better idea of your results. Best of luck!

If only one syringe was divided between the two areas, it is unikely that you have had too much injected. That would be improbable.
Give it at least two weeks to settle and for you to become accustomed to your new look.
If, at that point, you still feel you are too large, then you could have hyaluronidase injected.

Thank you for your question. It is difficult for me to give you advice without knowing for how long you’ve had your treatment. Usually, it takes up to 2 weeks to any swelling to resolve. However, Juvederm is not the appropriate filler to be used in the tear trough area as it attracts lot water and causes edema. The best filler for this area is Restylane as it is thinner filler and attracts less water. Typically, I use cannulas for this area for safety and less bruising. I recommend following up with your injector as he/she may want to dissolve the filler with hyaluronidase. Best of Luck!

One day after injection with Restylane or Juvederm, some signficant swelling is completely normal, so don't be alarmed. It is helpful to use ice packs on and off to minimize this, but to a degree it is a normal part of how the hyaluronic acid fillers work. They absorb water first, and then they settle in. Check again in a week or two to see if the swelling has decreased, and don't be totally surprised if it takes an extra week or two. Filler is a three-dimensional art, so you are right to look from all angles. If you are not happy, see your physician again. Always make sure you see a board-certified dermatologist or plastic surgeon.