Is this a Juvederm Problem?

In March 2008 my doctor injected juvederm under my eyes and just above my cheek. Within a few months I developed "pillows" just above the cheek that have a bluish cast. An aesthetician says it could be from the Juvederm; my doctor says no. I still have them over a year later. Do you have any idea what causes this and how I can get rid of them. Thank You Debbie

Wow – this one is tough without being able to see  you. If the Juvederm had been done more recently, I would say yes, it could be the Juvederm. Because, sometimes the hyaluronic acid fillers do have a bit of a bluish cast where the skin is very thin, pale or if it’s injected too superficially.   But Juvederm generally lasts 6-12 months at the most, with the longer times being with the Juvederm UltraPlus which has a higher molecular weight.  All the Juvederm should be gone by now!

One way to find out for sure, is to have your dermatologist inject a little of the enzyme hyaluronidase (he/she can order this if they don’t have it) into the area. If it’s still due to Juvederm, the Juvederm will melt instantly and you will both have your answer. 

Dr. Brandith Irwin, MD

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