It is not uncommon to experience a small degree of asymmetry immediately post-treatment due to the potential for swelling and bruising. Juvederm can take up to 4 weeks to integrate, so it is best to wait and review in 2-4 weeks with your Injector at which point you will have a better idea of the final result.
The swelling that can often occur after Lip Fillers can cause the lips to look a little uneven for a short time. This doesn't necessarily mean that anything has gone wrong and it may just take a little time for the product to fully settle and for residual swelling to subside.
This happens when the filler was injected too superficially. Patient may take notice to the uneven appearance several weeks post treatment or 3+ months post treatment when the body starts to slowly metabolize the filler. Additional areas that can be “botched” are cheekbones, chin, marionette lines, etc.
Lumpiness is very common to feel in your skin in the days after injection of dermal filler into the face, including the upper lip body and the cheeks and the chin area and along wrinkles and folds when injected to lift these. It will usually resolve within a couple of weeks.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
The filler can take several weeks to soften and settle into your skin. This means that patients won't see the ultimate results of their treatment immediately. Although individual results will vary, many people achieve the full effect within two weeks after receiving their injections.
Signs and symptoms of allergic reactions to cheek fillers include prolonged swelling, pain, and discomfort. It may also cause itchiness and, in very rare cases, anaphylaxis. Anaphylaxis is the severe allergic reaction to medication or food that leads to shock, skin rashes, and low pulse rate.
After the first two weeks there could still be residual swelling and lumps present for up to 6 weeks (although not as obvious). This is due to the tissue releasing histamines into the local tissue which draws fluid to the area whilst the cheek heal and the tissue inflammation calms.
Generally, any lumps or bumps that appear after fillers will disappear on their own within one to two weeks. Give the treatment a couple of weeks to improve, applying ice regularly.
It is considered normal to have one side of the face smaller, narrower. The difference in size may be very subtle but once augmented (fillers) that asymmetry may become more visible. You should discuss this aspect with your surgeon and possibly consider "asymmetric" injection, placing more volume in smaller side.
When you have had too much filler, then you may appear to have a bulging forehead, an overly pointy and sharp chin, and overly protruding cheekbones. Furthermore, the filler can stretch and weigh down your skin over time, which is known as filler fatigue.
Answer: Cheek filler
Filler can take 2 weeks to settle and this is completely normal. Go back for a review with your practitioner after 2 weeks, I would avoid dissolving the filler as it will usually settle over a month or so however if you are really unhappy it can be dissolved.
Cheek filler
They are ideal for replacing volume loss, enhancing cheek volume, and can improve the appearance of the lower eyelid by volumising the upper cheek area. We recommend using as little as 1ml per session for an enhanced appearance.
The most common cause of lumps after a filler treatment is swelling and bruising from the injections themselves. These should naturally subside within the first week.
Although extremely rare, dermal fillers are able to migrate within the skin if consistent and adequate pressure is applied to them. For this reason, we advise patients not to get a facial, massage (on the treated skin), or microdermabrasion for the first two weeks following their filler injections.
Within the first two weeks after your injections, lumps and bumps are normal because the cheek filler is settling. If they are particularly pronounced, your injector may recommend massaging the filler. Secondly, if it is after two weeks, your injector will likely still recommend massage first.
In rare cases, facial fillers like Juvederm can migrate to another site of your face within a few days of your injections. This happens when the filler moves before it has fully bonded with your facial tissue.
These include redness, bruising and tenderness at the injection sites. Discomfort or tenderness lasts only a few days and can generally be managed with over-the-counter pain relievers such as acetaminophen. Hypersensitivity and numbness are also common for the first few days after treatment.
Avoid itching, or picking around the injection site. Avoid applying intense heat to the treated area, that includes hot tubs, saunas, sunbathing or tanning. Don't drink alcohol the day of treatment, and try to avoid it for 2 days after. Avoid exercising for 2 days or until swelling subsides.
The effect of the dermal filler will be obvious immediately. Most of the swelling from the dermal filler will have resolved by 2-3 days after the procedure. There may be a small amount of swelling for even 2-4 weeks after the procedure.
Answer: Fillers are not permanent
When they wear off, your facial features are the same and the filler does not make your face look worse. That being said, if you have lost significant weight during this time or have had other medical issues, than you face may appear more "aged" but not due to the filler wearing off.
Injury, aging, smoking, and other factors can contribute to asymmetry. Asymmetry that's mild and has always been there is normal. However, new, noticeable asymmetry may be a sign of a serious condition like Bell's palsy or stroke.
Smoothing Out the Lumps
The good news is yes, those pesky filler lumps will in fact go away. It's actually quite uncommon for patients to experience any irritation or lumps following their procedure, but if you do, then you should expect them to dissipate after a few days.
They usually last between 6 and 18 months. Most dermal fillers used in the UK contain a natural substance called hyaluronic acid.