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Juvederm massaged too much-- much, persistent redness and not so much filler left
Accent Laser

First, I apologize if this question posted twice. I tried once and did not receive a confirmation nor was my account technically active, so I am trying one more time. Here are the details:

I had Juvederm injected in my nasolabial lines one week ago. This was the second time I had done this in the last year (1 syringe each time). Last time, I thought the product was migrating to just above my lines, creating a ridge (caused by my smiling), so I massaged some here and there within the first two weeks and it went away. I also had bruising after that last injection that was typical blue/ blk color and lasted for about 10-12 days.

This time, I brought ice packs so did not experience any immediate bruising. But my smile looked weird and the ridge felt like it was developing again, so I started massaging. I so nervous about trying to "smooth out" the lines/ridges, that I massaged the area like the injector did (thumb inside mouth, use of forefinger outside of mouth-- pinching motion to press filler area perpendicular to filler line-- I massaged in this manner up and down length of filler line on both sides of mouth.) I massaged and massaged over a few days. After a few days I noticed some general area swelling (which made the nasolabial lines look worse)and then to my dismay redness developed along both nasolabial lines. Now both of those nasolabial lines are darkly outlined.

The red lines have been there now for over 3 days. At this point I look worse than before being injected.

I am wondering two things:

Have I permanently damamged something from pressing so much/hard on the filler? Will the deep redness go away? It doesn't look like injection bruising and developed days after injection.

Also, is it possible to massage all the Juvederm away in a week's time? My last injection lasted 6 mths, but my lines look pretty awful right now-- can't tell if it is mostly the discoloration or combined with that I no longer have any filler in there.

Thank you for your feedback! I went to a med spa out of town for the procedure and she was not very nice. I am afraid to even call her and seeing her is not an option since we are over a thousand miles away.

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Doctor/Professional Answers (2)   


Plastic surgeon
Miami, FL
United States
View My Professional Profile
June 19, 2011 5:22 PM

AGAIN best to see IN PERSON a medical doctor for exact treatment. Over the internet very hard to give accurate recommendations. (more)
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Plastic surgeon
Miami, FL
United States
View My Professional Profile
June 15, 2011 3:48 AM

Your issue is you were treated by a nonmedical professional. try seeing a boarded derm or PS next time or even now. Injections need expertise by a DOCTOR in an office not a "med spa". (more)
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Member Comments (4)

October 5, 2012 7:41 AM

Thank you for telling me your story! I am so sorry you too have had to deal with this. It has been over a year, and I can tell you that the reddness has finally gone away, I believe almost completely. It took a long, long time, maybe at least 9 months. I still have some residual, deep juvederm on the left side that I can see when I smile, but I am hoping that will go away, too.

What I will tell you, is that I will, never, never have anything injected into my face again. I have found a better solution: facial exercises. With some simple exercises and massage, I have seen more improvement in my nasolabial lines than any round of Juvederm, and without the crazy side effects.

I wish you luck! Look into facial exercises! They really, really work. No one talks about it because you can't make money off of facial exercises :)

Ridgeland, MS
United States
  Massage to Attempt to Correct Juvederm Migration
October 4, 2012 11:57 PM

I had 1 syringe of Juvederm injected in N-L lines earlier this year and experienced the same situation. It migrated laterally, thereby accentuating the depth of the N-L groove. The physician said I had "smiled too much" after the procedure. (It is always "our" fault.) I think he said there was a period of a few hours or a day or two in which you can massage it, but then after that it hardens. He offered to inject it with hyaluronidase to dissolve it; but I was afraid I would end up with another problem such as a void/indention, so I decided to wait and let it dissolve with time. One area, on my left cheek, above the N-L line, ended up forming a point, as if the material was rising to the surface of my skin to drain. But it never drained. It is small, and with makeup, most likely, noone notices it. I am hoping it will dissolve in time on its own. Just recently,I had another syringe of Juvederm Ultra injected by a different physician, hoping once again to plump up the N-L lines. In the office, it seemed she was injecting directly into the N-L lines, however when I got home, I could feel tightness and see a hard lump on the right side of my nose, well above the N-L line. I called her and she said it was probably a "deep bruise". It never turned blue or purple, but she said a deep bruise would not be visible. My instinct said that it was not a bruise. I believe the material followed the path of least resistance, and somehow went up to this area to the right of my nose. It has been about one week. I have gently massaged it down toward the N-L line. It seems a little better, but the tissue is still tight and hard in a spot about 2cm in diameter. I recall she said, "I'm going to put this last bit of material on the right side because this is where you need it." (BTW, I still have prominent marionette lines that received absolutely no filler, and at the corners of my lips, there are shadowed depressions that would have benefitted greatly from some filler.) Injecting Juvederm is an art and a science, and not only is the procedure dependent on how gentle the technique of the doctor, but also where he/she injects, the direction of the BEVEL of the needle, the amount placed in one spot, and the RATE the material is injected. Everyone has the potential to react a little differently and the odds are that you will have a few cases of unexpected or undesired results. I have seen educational/ demonstrational videos on Utube where the doctor uses such a "rough" technique to inject that I would NEVER, EVER allow him to touch me. Unfortunately, it is hard to judge a doctor's character, skill, and technique from recommendations, ads, or an initial consultation. You do not even know if corners are being cut that could jeopardize your health. So what I am saying is that you and I are really taking a risk every time we have a procedure performed. There is a great desire for money among some people who will gladly do procedures that they are not very skilled at performing. You need to study and research a procedure to the utmost before you walk into the office. Give your input as to where exactly you want the material (that you bought at a hefty price) placed. You don't want it wasted. This does not answer your question about whether the redness will go away or if the material has all been completely massaged away...but by now, you know that answer . Please tell us how your situation turned out. Thanks, and I wish you the best of luck with your problems with the filler.

June 23, 2011 7:33 AM

I am not using this board as a substitute for professional opinion-- I am using it to supplement one. I went to a derm who could not help me, and I do not live close to any plastic surgeons. Thank you for your time.

June 19, 2011 9:15 AM

Although I appreciate someone taking time to respond- it does not help me at this point to tell me I made a mistake. Obviously I know that now, having learned the hard way. Does anyone know how long the redness, which is only along the actual nasolabial lines themselves, going to last? It has been a week and a half now post injection. Some general redness has gone down, but the lines themselves are rather darkly outlined.



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