I agree with Dr. Schwartz, your results depend on who you go to and their experience. Dermatologists, on average, see many more patients and spend much more time doing injectable treatments (Botox, Juvederm, Restylane, Radiesse, Artefill) than any other speciality. Most plastic surgeons spend more of their time doing what they were trained for, surgery, than they do injectables. Plus dermatologists have been doing injectables for over 20 years, starting with collagen injections in the 1980's, while most plastic surgeons just started doing injectables in the last 10 years when they saw the direction that rejuvenating treatments were going. Of course there are exceptions to everything, and I know some plastic surgeons who are great injectors. The important thing is to find a cosmetic specialist who has background training in dermatology, plastic surgery, Oculoplastics or facial plastics, AND does a lot of injectables. If they do, they will usually be toward the top of the list when you search for a doctor on the Botox.com or Juvederm.com websites. Don't go to a medispa unless it is attached to a reputable specialist's office. Free standing medispas tend to either have no physician associated with them or the physician is a non- cosmetic specialist, such as an ER doctor, anesthesiologist or family practioner, hiding his true specialty under the "med spa" signage. Also go by recommendations and/or look up a physician in your area here at real self.com and read their reviews. Only specialists are allowed to answer questions on real.com. As for whether your product was real or fake, Juvederm comes in a purple/pink box. It doesn't sound as if you got the real thing. Bleeding however can occur with any filler, but is minimized with good technique unless you were taking Advil, aspirin or similar products.