Horrible Juvederm/Hyaluronidaise Experience, Only 19 Years Old, Permanently Destroyed my Lips?

asked 10 months ago by simpson_1234 in San Diego, ca
Latest answer by Susan Van Dyke, MD
Question viewed 778 times
Tags: 1 month post-op, bruising, damage, permanent

5 wks ago 0.8cc Juvederm ultra plus 4 wks 0.6cc Juv. (trying to even it) 3 wks 0.2cc hyaluronidaise 2 wks 0.4cc Juv. (to even it, fear hyalur. would cause perm. damage) This wk-Hyaluronidaise ,0.3 cc each time. Lips are finally smaller, lumpy, but I just had it ystrdy. Very bruised. Extremely depressed barely leave the house could any of this have permanently damaged my lips in ANY way? When is it safe to have more Juv, had it successfully twice before this, want those lips back so bad:(

11 answers to Horrible Juvederm/Hyaluronidaise Experience, Only 19 Years Old, Permanently Destroyed my Lips?

Upset with lips after lip augmentation with Juvederm plus.

IMHO you should stop and just let the Juvederm dissolve on its own instead of trying to manipulate the Juvederm Plus. Once it's gone, you can try a thinner filler like Juvederm or Restylane along the lip borders or one of the lip implants (alloderm or the silastic implant).

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Juvederm is removed with hyaluronidase injections

Sit tight. Maybe do nothing for a week then have an expert injector evaluate your lips and add Juvederm fillers as necessary to get harmony and then a week later have more Juvederm added as necessary to increase volume if that is still desired, In other words, get stability first then get symmetry and finally get volume.

Harlow Hollis, MD
Victoria Plastic Surgeon

Juvederm in the lips

You have had a harrowing experience with uneven Juvederm injections and repeated attempts to correct the initial problem. The key here is the unevenness of the original treatment. In nearly 30 years of injectable experience I can honestly say that I have not seen such difficulty. Having said that I assure you that with time all will return to normal. Although rare there can be reactions to hyaluronic products (I published an article on abnormal reactions a... more

Susan Van Dyke, MD
Paradise Valley Dermatologist

Swelling can take weeks to settle from juvederm

I believe Dr. Enzer's post was perfect and I completely agree that some time should be given to see how much settles after the swelling has been alleviated. Hyaluronidase is very safe and does not affect normal tissue like it does the filler. It is perfectly safe. Nothing to worry about with regards to this, but I would give it time before making any final conclusions. Seems like a lot of injections in a very sensitive area that can make final judgements difficult... more

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon

Unhappy after lip juvederm

I agree with the other physicians- the vast majority of situations like yours can be successfully resolved. You have had many injections into your lips in a very short period of time. Your doctor is certainly going "above and beyond" to make you happy. However, sometimes in the course of trying to make patients happy we do not wait long enough for treatments to settle down. Moreover, every time a needle is placed into the lip it introduces the chance of... more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Not to worry

Sounds like you've had a very frustrating experience! Thankfully, this is all reversible and if you get back to baseline, you can go to an experienced injector and start over again. Bruising will go away - tenderness will resolve, and I'm sure you will be able to find an injector who can give you the result you're looking for. Remember to avoid alcohol, aspirin, NSAID's for the week before any injections, and use Arnica Montana.....this will help prevent... more

Laura Skellchock, MD
Palm Beach Dermatologic Surgeon

Horrible Juvederm, Hyaluronidase experience

At this point, I would avoid any more Hyaluronic Acid (Juvederm, Restylane,etc) and Hyaluronidase. I would wait 2 or 3 months, during which the appearance of your lips will gradually improve. Then, you may reevaluate the situation and see where you need additional Hyaluronic acid injected. I would also be careful with theHyaluronidase. It is a protein that you may become allergic to. Assessing the effects of the Hyaloronic acid injections more slowly will achieve better results... more

Eugene Mandrea, MD
Chicago Dermatologist

Juvederm/Hyaluronidase in lips--disaster this time.

Fortunately, when things settle and the HA filler (regardless of the manufacturer, Juvederm or Restylane is not the problem here) completely reabsorbs, your "old" pre-filler lips will remain. That is, IF you stop fooling around with more Juvederm, then Wydase (hyaluronidase), then more Juvederm, then more Wydase! You have correctly determined that it is the technique (or the injector), not the product that is at fault here. Please realize that some of the swelling immediately... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Give yourself some time

You will be able to get your old favorite lips back. You need to give the hyaluronidase time to complete it's job and make sure that you don't need more. Give your lips time to get back to their natural state without any swelling or bruising before you let anyone touch them again.

Jo Herzog, MD
Birmingham Dermatologist

Juvederm in the lips is very, very safe and completely reversible

Please try not to worry. There is absolutey no chance of permanent damage. I agree with the previous physician that you may need to have additional treatments. Sometimes spot reducing is not precise. You may need to remove all of the product and start again. You will have those lips you love soon enough. Try and hang in there.

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon

Your lips WILL get better

One great safety advantage of Juvéderm® [and other HA based fillers like Restylane®] is that they are COMPLETELY reversible with hyaluronidase. I have done experiments on my own skin, injecting HA Restylane® and Juvéderm®, then injecting hyaluronidase, and while hylauronidase can produce improvement within hours, it can take several days to reach it's maximum effect; and treatment may need to be repeated several times, depending on the dose of... more