I have juvederm in my lower face; wondering if I massage the juverderm will it flatten out?

Question

just wondering if I massage the juverderm will it flatten out? I was trying to soften my Marietta lines.

Nelson Lee Novick, MD · Answer

As a rule, whenever necessary, I typically massage volumizers and fillers immediately following treatment in order to mold, sculpt and smooth them. However, it has been shown that these products may still respond to massage up to a month following injection. Having said this, I just want to make the point that these days, most experienced injectors make certain that the rest of the face, particularly the cheeks and the mid-cheek regions, is properly volumized before directly treating lines, such as the marionette lines and smile lines. In fact, often these lines do not even need to be directly treated once the cheeks have been properly volumized. What's more, not uncommonly, if the marionette lines (or smile lines) are treated directly without prior treatment of the cheek regions, the look achieved may not be the desired one. In the case of smile lines, via direct injection, there is a risk of flattening them to the point of creating what is known as the "simian" facies--i.e. the smile line-less face of a chimpanzee. And in the the case of the marionette lines, there is the risk of giving rise to  linear mounds, which sounds like it might be the case here with you, or a distortion of the angles of the mouth. Finally, neither plain simple Juvederm nor ordinary Restylane would be appropriate for the volumization needed to accomplish the above. They are simple fillers, rather than volumizing agents, are best reserved for treating superficial lines and wrinkles. Make sure you are consulting and receiving treatment by a board certified aesthetic physician. Best of luck to you

Tyler Angelos, MD, FACS · Answer

Gentle massage will help smooth the treated areas and should not cause them to flatten out. Since every surgeon differs slightly on their post-injection protocol find out what exact instructions they want you to follow.

I hope this helps,

-Dr. Angelos

I hope this helps,

-Dr. Angelos

Jason Emer, MD · Answer

Massage only can change the outcome of juvederm immediately after injection or if a lump forms.  If it has been in place for a while, massaging will not help and hyaluronidase is the only reversing.  Best, Dr. Emer.

Nicholas Jones, MD, FACS · Answer

Thank you for your question. I typically massage during injections to have evenly distribute the filler. I typically do not ask patients to massage the filler unless there is a small contour irregularity that is usually responds to gently massaging for a few days.

Good Day,

Dr. Jones

Good Day,

Dr. Jones

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Unfortunately without knowing the timing since injection it is difficult to offer recommendations.  If it has been over 2-3 weeks since treatment massage is unlikely to flatten any contour irregularities away.  Your treatment options would be to have your injector dissolve the JVD with hyaluronidase or allow time to slowly metabolize the product over 6-8 months.  Hope this helps.

Aldo Guerra, MD · Answer

If this is from a recent injection, then give it a few weeks to settle. Massage might be appropriate, but ask your injector first. If the problem lingers then you can dissolve it with hyaluronidase.Best of luck, Dr. Aldo

Michele S. Green, MD · Answer

If you recently had Juvederm injected and there are lumps then massaging the treated area can flatten it out.  If the injections were more than two weeks ago then there will be no change.    If you are unhappy with the results of your injections then I would definitely return to your dermatologist to discuss.  Often Voluma is best to treat this area with malar injections.  Please consult an expert for the best cosmetic results.  Best, Dr. Green

Steven F. Weiner, MD · Answer

Vigorous massage in the area of filler can lead to less longevity and dispersion of the filler. I wouldn't do it. I don't think that massage will help marionette area. The area can be helped with PDO threads as well.

Shaun Patel, MD · Answer

Juvederm filler injection is a great treatment option for treatment of marionette lines and pre jowl hollowing. I usually massage the filler after I inject it. I will occasionally instruct patients to gently massage the filler if there is a small lump or bump. I recommend you discuss with your injector.

Christian N. Ford, MD · Answer

Thank you for your question.  Your injector may massage to smooth the product at the time of the injection, but some lingering fullness after the injection may occur.  Typically, the product is fully incorporated with the surrounding tissues and any fullness goes away by 2 weeks after the injection.  I show patients how to massage any areas that may feel full at the time of the injection.  Massage may be beneficial in your case, depending on the timeline.  Please be sure to check with your injector in order to determine the best course of action.  Hope this helps and best wishes!

I have juvederm in my lower face; wondering if I massage the juverderm will it flatten out?

Answers (12)

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