Why is Juvederm only lasting two weeks in marionette lines?

Thank you for asking an important question.  While many people notice and wish to correct the nasolabial folds (line from corner of nose to corner of mouth), your physician needs to address the underlying cause of these lines on you.  Aging is a three dimensional process involving bone loss, muscle loss, fat compartment loss, and skin changes.  Most often, the etiology of nasolabial folds (NLF)is not "volume loss" of the NLF.  Typically, the temples and mid face need to be addressed to minimize the nasolabial folds.  In my practice, I use a variety of options including Voluma, Volift, Restylane Lyft, Sculptra, Radiesse, lasers, microneedling, and radiofrequency to individualize treatment for a patient.  I often see results that last several years.  It is not the filler (product used); it is the Filler (meaning the physician injector) that produces amazing results.  Please revisit your board certified dermatologist or plastic surgeon to see if you actually need upper face or mid face correction rather than simply injecting your nasolabial folds.  Best of luck,Suneel Chilukuri, M.D.Houston, TX

Hi thereJuvederm should be lasting longer than 2 weeks.  Its possible you are seeing the effects of swelling initially, and then as the swelling goes down it does not look as impressive.  It may be that you need more filler.  You might look over filled for a week or two, but once the swelling goes down it  should settle out.  Another suggestion would be to try another product.  Try restyalane next time.  Your body may just chew up the juvederm more quickly, and another product might not have the same effect.  Another option is fat grafting.  Fat will be much longer lasting but is more invasive since it needs to be harvested from somewhere.  Good Luck