Juvederm - Related Questions

Q: I have had Juvederm injected for years by my dermatologist and loved the results. I was at my dentist recently and while I was in the chair and numb, he suggested I let him inject me since he was now doing Juvederm injections. Well, I did not want to offend him right before he was about to fill a tooth, so I said "sure". I am now heartsick. I am crooked and lumpy and I don't even think it was injected where my wrinkles were. What went wrong?

A: What went wrong is that you felt pressure and chose to be polite rather than smart. I also feel your dentist was wrong to put you in that position. It takes years to understand how best to inject fillers. I regularly teach dermatology residents over a 3 year residency program. Dentists are now taking weekend courses. It is also a BAD idea to inject someone while they are swollen or reclining as this alters the anatomy and results in incorrect placement of the filler. Finally, when dental work is done, there is a mild, temporary bacteremia (bacteria from the mouth getting into the blood stream. This is why orthopedic or heart implant patients often need antibiotics when dental work is done). This bacteremia simultaneous with dermal filler implantation increases the chances of infection and biofilm formation at the site of injection. Go back to your experienced dermatologist with your hat in your hand and she/he can likely correct the poor result.

Q: Is it possible for Juvederm to move around after it is injected?

A: It would take vigorous manipulation and pushing to move Juvederm from where it is injected, but it is very pliable and can be moved a little. It certainly will not move more than a few millimeters, so it would not move from the area of the face that was injected. I recommend my patients NOT to massage after I have made sure the product is in the correct spot and any lumps have been massaged out by me.

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