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What should I do? Juvederm in my Lips Having Issues 15 Months Later

asked 1 year ago by Kim from LA in Metairie, LA
Latest answer by Ronald Shelton, MD
Question viewed 1,591 times
Tags: lips, female, lumps, uneven

OnJan 10, 2011 I visited a PS. He used 2 syringes Juvederm in my lips and a little in folds around mouth. I didn't like the unevenness that I saw after the procedure but was told to give it time it will even out. Went back to see PS on 9/8/2010 and was told to give it more time and that is when I decided never again will I do this. I look like I had a stroke. My left upper left still has a lump and when I smile the lump hangs over my teeth...I hate it.

16 answers to What should I do? Juvederm in my Lips Having Issues 15 Months Later

Lumps in lips 15 months after Juvederm is scar from hematoma.

This unfortunate situation is the result of scar from hematoma from injection into the lips (a very vascular area). WHAT was injected has nothing to do with your present situation, and really wasn't the fault of the product, and could have happened with any injector, regardless of experience. The experience is needed now, so that you don't have injections of something that won't help, and may cause another hematoma. BTW, had you taken an aspirin or ibuprofen in the two weeks... more

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon

Lip Swelling 15 months after Juvederm

First, I would recommend seeing another physician to evaluate exactly what is causing your persistent swelling. It may be scarring from the hematoma which would not respond to hyaluronidase. I suppose it could be persistent Juvederm, but this is an awful long time for the product to persist. So rather than suggesting hyaluronidase, I would suggest an evaluation by a different plastic surgeon or dermatologic surgeon who has a lot of experience with soft-tissue fillers.

Andrew Kaufman, MD
Los Angeles Dermatologic Surgeon

Choosing a surgeon to infiltrate lips or face with juvederm requires investigating the credentials of the surgeon

Choosing a surgeon to infiltrate lips or face with juvederm requires investigating the credentials of the surgeon. This shoudl be done in addition to interviewing the surgeon and looking at before and after pictures.

Edward Lack, MD
Chicago Dermatologist

What to do about Juvederm in lips 15 months later

It is possible that the lump in the left upper lip is excess Juvederm but it also looks like a hematoma in the after photos. If it is still present after 15 months, which is fairly unusual with Juvederm in the lips, then an injection of a small amount of hyaluronidase will help dissolve it. Also, two syringes of Juvederm in the lips is quite a bit. I always start with one, and have not had to use more than that in one injection session.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Juvederm lump

If the lump is juvederm, hyaluronidase will melt it pretty quickly. Go back to the doctor or another one and investigate this option.

Steven Wallach, MD
Manhattan Plastic Surgeon

Juvederm lump

I'm sorry you've had such a bad experience with Juvederm - it really is a great product. At 15 mo it should be dissolved. However, there is a medicine that can dissolve it. I'd recommend seeing a plastic surgeon to examine you and figure out if there is still product there or if it is something else. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Juvederm in lips

I agree with much of what the others have said. Would use hyaluronidase. If not successful after that would suggest having an experienced cosmetic dermatologist evaluate this and decide whether some intralesional steroids might help.

Jo Herzog, MD
Birmingham Dermatologist

Juviderm and lip problems.

See another plastic surgeon who has a lot of experience with fillers. Hyaluronidase will help to decrease the size of the lip.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Lumpiness after Juvederm injection

I agree with the others, that Hyaluronidase would be the first thing to consider. While it is unusual for Juvederm to persist for 15 months, it can occur, especially if the material is not well distributed in tissue. From your pictures, it also looks like you previously had a deep bruise or hematoma. When hematomas heal, there can be associated scarring, which is another possibility.

Bryan K. Chen, MD
San Diego Dermatologist

Juvederm in the lips

In most people, by about 15 months post procedure, most of the Juvederm should be gone. But it can persist in some people and you are probably one of those people. I would injected the upper lip with Hyaluronidase. Also, your doctor can take a warm compress, put it on the area for about 30 minutes and then message the area firmly. This technique usually works a week or two after the procedure but it would not hurt trying. I would have your physician do it in the office. Dr. Behnam more

Ben Behnam, MD
Santa Monica Dermatologic Surgeon

Start with hyaluronidase

At 15 months in most cases most of the HA is gone. BUT it can persist, and if the HA is causing the bump then you are in luck, because areas of excess HA are easy to treat by injection of hyaluronidase [an enzyme which dissolves cross-linked HA within a day, and sometimes within hours]. Occasionally a second injection is needed a day or two later. SO, I would start with hyaluronidase. IF it is not effective, THEN other causes for the bump should be investigated. more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

What should I do? Juvederm in my Lips Having Issues 15 Months Later

Thanks for the photos posted. Yes I see the left upper lip issue. I recommend injection of "drops" of Hyaluronidase , or possible slit incision removal (risk of a scar). Best of luck, sorry for your issues.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Juvederm Complication in Lip

Looking at the progression of your photos, it appears that this is not a complication of the filler but rather a complication of the hematoma from the injection. By this point, the Juvederm should be completely gone. What is unfortunate is that this is something that could have been treated a long time ago. If your original physician won't work to correct this problem, you should see another doctor.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon

Lumpiness from Juvederm in lips

As there is a bruise in your second photograph corresponding to the enlarged area of the left upper lip in your last two photographs, it may be that there was some bleeding that collected under the lip (a hematoma). Usually these hematomas dissolve but sometimes they can organize with collagen into a mass (rarely they even calcify). You might have developed long term collagen in this area; now wouldn't that be a wonderful thing if we could deliver such a result in a homogenous... more

Ronald Shelton, MD
Manhattan Dermatologist

With Juvederm in the lips, you can have it dissolved with hyaluronidase

The left lip looks like it has a bump. With Juvederm in the lips, you can have it dissolved with hyaluronidase. You can also massage lumps to help them dissipate. Also, if you have a crooked smile to begin with, you can alter it with BOTOX. But, in this case it looks like you need to add a little bit more filler or dissolve it to even it out. But you don’t need to worry because Juvederm is a safe filler to use in this area as long as it’s used correctly. more

Joseph A. Eviatar, MD
Bronx Oculoplastic Surgeon

Juvederm in Lips

Dear Kim, It is very unlikely that there is Juvederm still in your lips after 15 months. I advise you to follow up with the Doctor who did your treatment to determine the cause of your concern. If it is indeed Juvederm that is still there, there is a anecdote to Juvederm that can be injected and make the Juvederm disappear if you are unhappy w/ the results. Good Luck! Dr. Grant Stevens