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Juvederm Lip Injections - 3 Days Later, Barely a Difference?

I had my lips injected with 1 syringe of Juvederm last Thursday. I thought it looked great! 3 days later and my lips look hardly any different than they did before I got them done. Should I contact my doctor? This was my first experience at a cosmetic surgeons office; I didn't show my doctor a photo of how I wanted my lips to look - I just told him that I was wanted my lips larger. Will this make a difference in getting the results I really wanted without having to pay another $550?

Doctor Answers (17)

Juvederm Lip Injections - 3 Days Later, Barely a Difference?


After Juvederm has been injected, there is a component of swelling that occurs in the lips especially if there was some massage at the time of injection.  The presentation is then a larger lip composed of Juvederm and swelling.  After a few days the swelling goes down leaving the lips augmented by Juvederm only and this may not be enough correction.  Additional Juvederm may be needed for the lips to look like the appearance of the first few days.  Please see your injector to discuss options with him.

Baton Rouge Plastic Surgeon
5.0 out of 5 stars 5 reviews

Lip augmentation with Juvederm usually works well.



Wait a bit longer........your results will change yet. You admit to bruising still present so you probably will shrink a little more as the blood resorbs. Needles are sharp and cause some trauma which creates swelling......this will go too. You should be stable in about 1 week if the bruise isn't too large. Then evaluate your results.

As an aside, I see that your upper lip was 50 % the size of your lower lip pre injection and 3 days later it is about 80 % the size of your lower lip so there is definately a size change. The change is more attractive since the ratio of the lips is more aesthetically prorportional.

Even with good results, you should always feel comfortable returning to your doctor to discuss any concerns. He/she may give you information that makes good sense to you and you feel better about it all. Or, it may be that you could benefit from more Juvederm to satisfy your individual sense of what makes beautiful lips.

Harlow Hollis, MD
Victoria Plastic Surgeon
4.0 out of 5 stars 2 reviews

Lip augmentation is all about volume of Juvederm.


You have nice full lips to start so augmenting them with fillers like Juvederm or Restylane may take more volume than you think.  It is not that uncommon in a young full lipped woman to use 2 syringes for the desired result.  The swelling that you experienced gave you a glimpse of what "more" will do for you. Definately revisit your physician fro more filler. The good news is that is will last for 6 months or more.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
5.0 out of 5 stars 14 reviews

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Juvederm Lip Enhancement



In evaluating your before and after pictures, your upper lip definitely looks volumized as compared to your pre-injection photograph. Your lower lip does as well, but to a lesser extent. Perhaps you were desiring bigger lips than one syringe can provide. I would suggest returning to your physician for an evaluation and possibly, further volumization. 


Warmest Regards,


Glenn Vallecillos, MD, FACS

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 20 reviews

Lips have immediate increased volume with Juvederm


Looking at the pictures you have posted, the before pictures show your upper lip MUCH thinner than the after pictures. The bottom lip does not look much different, but as the lower lip should be about 2 times the "thickness" of the upper lip, it looks like your lips ae in more "aesthetic balance" now and more attractive. If you do have concerns, always go back to the injector for re-evaluation, as your satisfaction is the aim of any of these type of treatments.

Debra Irizarry, MD
Crestone Plastic Surgeon
5.0 out of 5 stars 3 reviews

Juvederm for lip enhancement


I tell my patients right after Juvederm injection in the lips that if they think the lips are too big then after the swelling dissipates it will be about right. If they like the lips right after injection, they will probably need more. What looks right is a very individual thing. What looks good to you may be unacceptably huge to another person.

Peter T. Truong, MD
Fresno Oculoplastic Surgeon
5.0 out of 5 stars 7 reviews

Lip filler


If you were happy at three days after lip augmentation but now you are not because the swelling dissipated, suggests that you may need more filler material.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

Juvederm lip injections


It can take 2 weeks to see the final result.  If you would like your lips even more enhanced, return to your physician for more Juvederm.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 16 reviews

More is better!

Your photos show a common assumption among patients which is that the swelling is part of the final result. Remember, 0.8-1 cc's is not a large amount of volume. Most lips require 2 or more syringes to get the larger look you are after. The positive spin on this is that you are able to preview what your lip would be like with more filler. The material is still there in it's full volume, it has not "disappeared" you just need more of it to get the result you desire. Lastly, the middle photo in your series is not taken at the same have raised your chin which gives the lip a falsely larger appearance in this photo. Your doctor did a nice job with the one syringe, but if you want it larger it will cost a little more. Best regards,

Kirk A. Churukian, MD
Los Gatos Plastic Surgeon
5.0 out of 5 stars 2 reviews

Juvederm results...


Juvederm results last anywhere from six to nine months.  The results are usually natural, and seen immediately.  Your body absorbs the hyaluronic acid over time so the injections must be repeated periodically to maintain the refreshed look.  Your results definitely show enhancement, but it is important to remember that the most important part of the plastic surgery process is communication.  Therefore it is vital that you go back to see your plastic surgeron and communicate your desires, and let him see if more filler is needed.



Andrew Miller, MD
Edison Facial Plastic Surgeon
4.5 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.