Juvederm in the Nasolabial Folds Affecting my Smile, What Can I do?

I just had Juvederm injected to my nasolabial fold area and I've noticed that when I smile, my upper lip seems to be pushed downward so that it doesn't lift as much nor does it spread out over my teeth nice and flat, rather it looks like I have that fake lip smile, even though the Juvederm was injected to the nasolabial folds. I'm just wondering if the stiffness from the swelling has affected the muscles temporarily or if there's just too much Juvederm injected that it's pushing my lip down?

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nasolabial folds

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1 Doctor Answer | Asked by rfrazar in Santa Monica, CA USA

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Juvederm is not my first choice for treating the nasolabial folds

The problem you are describing is most likely due to the use of a superficial "wrinkle filler" like Juvederm instead of a "volume filler". Radiesse has been proven to be much more effective than hyaluronic acid fillers like Juvederm for treatment of the nasolabial folds. Several years ago a study was done where Radiesse was injected into one nasolabial fold and, in the same patient, fillers containing hyaluronic acid such as Juvederm were injected onto the other... more