Blog with Dr. Irwin

Filler mistakes

A Juvederm mistake/problem!

Posted in Finding a Good Doctor, Fillers, Filler mistakes, 2012 on May 19, 2012 | Permalink

Hi Dr. Irwin. I had Juvederm injected over my right eyebrow two weeks ago. The Injector (visiting from Florida)was not a Board Certified Doctor. I had bruising and swelling. I now have about a two inch oblong bump on my brow bone. Can I use Hyaluronidase to disolve it? Or should I try to massage it out? What should I do? I don't want to make it worse.

Okay - I'm trying to bite my tongue on this and I know you know why!! Please, please don't let anyone who's untrained and not Board Certified or closely supervised by someone who is Board... more

Is there anything i can do about Sculptra bumps around the eyes?

Posted in Sculptra, Fillers, Filler mistakes, 2012 on May 04, 2012 | Permalink

dr Irwin it's been over 2 years I had sculptra injected by dr ____ ___________. I have the lumps from sculptra on the surface under my eyes. My gp said they have to be cut out by a plastic surgen. Why are doctors injecting sculptra under eyes? I'm disfigured and will end up with scars from this product? Can sculptra cause cancer? The company I contacted don't care... My name is margaritta from Brisbane Australia.

I am so sad that you had this experience. As you know the company who makes this product (now Valeant) is not recommending using this product around the eyes. This is because a small... more

Are these broken blood vessels or purplish color a side effect of Restylane?

Posted in Rosacea, Juvederm and Restylane, Fillers, Filler mistakes, 2012 on Apr 24, 2012 | Permalink

I had Restylane injected into my nasolabial folds about 3 years ago and still have a purplish hue skin color that is hard to cover with makeup. If I look at my skin under magnification I have some broken blood vessels. How can I get rid of this discoloration? Also I would like to have some filer in my marionet lines but do not know what filer to use. Can you make a suggestion? Joy

In our experience, there are usually three main causes for these. One, some people are prone to these around the nose and nasolabial folds, probably genetically (look at your parents - do... more

I have a lump in my lip from Juvederm!

Posted in Juvederm and Restylane, Filler mistakes, 2012 on Apr 13, 2012 | Permalink

I have had lip injection with Juvedrem ulta n 2 hours after procedure I have developed a lump on my upper lip And lumps inside my mouth as well. Today has been 5 days post op and I went back to the dr and he said it will go down!! He says if u want to massage it then do so but he said he doesn't think that's a good idea?? I asked him to put a needle in the Lump on my lip and remove it and he said no to early!! I have no bruises and lips look good besides that !! Should I go to another doctor ??

I usually tell my patients to give any filler about a week to mature. Sometimes an injection could cause a bruise that's deep and not very visible. Approximately a week, gives the... more

What do you think about using Radiesse for the jowls and around the mouth?

Posted in Radiesse, Fillers, Filler mistakes, 2012 on Feb 18, 2012 | Permalink

What do you think about using Radiesse for the jowls and around the mouth?

In the hands of an experienced doctor or injector, around the jawline and the jowls, Radiesse can give a nice support that looks very natural. It can also be quite effective around... more

Am I overfilled with Juvederm? What about other fillers or Artefill?

Posted in Juvederm and Restylane, Finding a Good Doctor, Fillers, Filler mistakes, 2012 on Feb 14, 2012 | Permalink

Hello i just stumbled across this blog and thought you might be able to help me. I am 37 years old and have been getting fillers Juvenerm and Restalyin injected for the last couple of years, I now have puffy bags under my eyes from being over filled and a blue tint to the point where people ask me if i was punched. I was thinking of either going to another Dr. or possibly going with Artefill as one Dr. suggested, is there any advise you can give me about the current desolvable fillers or Artefill?

In general, if you have puffy bags and a blue tint under your eyes after hyaluronic acid fillers like Juvederm or Restylane, you have too much filler under there!!! Please find a board... more

A Sculptra complication - what can I do?

Posted in Sculptra, Finding a Good Doctor, Fillers, Filler mistakes, 2011 on Dec 26, 2011 | Permalink

Dear Dr. I am russian with a naturally round face, rather flat, and prounounced cheeks. I had Sculptra injections in July this year in the cheek hollows and above the cheekbones, I was badly overfilled the day of injection that I hardly recognized myself. I hate the new volume in my face, it does not suit my face at all. I look so different, it has completely changed the natural anatomy of my face (now the widest point is above the cheeks up to the temple, which makes my face more angled, before or naturally the widest point was just below my cheekbones, having no angles and a round face). My former sweet and young looking face looks harsh and older. The high and overly pronounced cheekbones make me look almost agressive, and my eyes look smaller and more sunken, while the lower cheek next to the mouth look like a chipmunk. A lot of projection and volume next to the mouth and nose. My face feels almost stiff when smiling due to the huge volume and thikness increase. I am crying a lot, before i was a very good looking woman now I became invisible. I am really depressed and stoped going in public. How long I have to live with this? Will my face ever get back to what it was? Is there anything I can do to speed up the process? Mny thankd for your answer

First of all, I am so, so sad that this happened at all. Sculptra can be lovely when it's done gradually over a period of months and the doctor doing it has a good "aesthetic eye." ... more

Are injections of filler inside the mouth safe?

Posted in Fillers, Filler mistakes, 2011 on Dec 08, 2011 | Permalink

Can you use fillers in your gums to hide grey teeth inplants?

The answer to the above is no. And, in my opinion, injecting fillers into the face through the mouth raises safety issues. Think about it! The mouth is one of the most bacteria... more

A possible Juvederm complication?

Posted in JuvedermRestylane, Juvederm and Restylane, Filler mistakes, 2011 on Nov 30, 2011 | Permalink

Hi, I had juvederm about 5 weeks ago to my lip area and a tiny line one a wrinkle on my forehead. After the injection I had swelling which on my lips went down but on my forehead was around 2mm all around it. My nurse said it was swelling which could take a couple of weeks to settle and to leave it. 4 weeks after treatment I gently rubbed up and down once to help smooth it and it seems to have aggravated it more still being swelled. It isn't red but is a little uncomfortable. I can notice the swelling at certain angles and light. I am worried it will stay like this and hope the fluid around it will settle. By rubbing it whats the worse damage I could have done? I don't mind that the treatment wasn't successful but will I be left with this until it wears off. Thank you for your time and look forward to hearing from you

Generally, if you have waited a full week and it's still not good, it's time to go back to your doctor/nurse to have them look at it. There is an easy way to eliminate Juvederm bumps... more

A possible Juvederm mistake?

Posted in JuvedermRestylane, Juvederm and Restylane, Filler mistakes, 2011 on Nov 20, 2011 | Permalink

I had Juvederm in my nasolabial folds 8 days ago. It looked great; I had minimal swelling and it looked very natural. Today, I noticed that my smile is very noticeably crooked. It is normal on the left side, but sort of a half-smile on the right, and my cheek seems to be pushing "down". I already looked at pictures to see if this was an asymmetry I hadn't noticed before, but that is not the case. Is it possible the juvederm shifted? I look a little weird!

Only your doctor knows exactly where that Juvederm was injected. You must call and go back to the office so he/she can look at it - it's really the only way to know. A good office will... more

A good result with Botox/Juvederm around the lips but one small problem?

Posted in Fillers, Filler mistakes, 2011 on Nov 04, 2011 | Permalink

Dr. Irwin, thank you for answering my question regarding the use of Botox and Juvederm to correct the wrinkles above my upper and lower lips and around my mouth. I had the procedure done. The doctor used 1 unit of Botox in 5 points around the top and bottom lip and then filled in the wrinkles with Juvederm. It worked wonderfully and it's 12 hours later and there are no issues with pursuing my lips! I do have, however, a small lump in my upper lip directly in the center. Will this go away?

I'm so glad you had a good result and kudos to you for taking the time to find a good doctor! Sometimes that is the hardest part. If you have a small bump in the middle, it could... more

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