Juvederm: Q&A
Ask a Question
More Juvederm?
About two months ago I had my plastic surgeon inject juvederm under my eyes (they were quite sunken) and into the lines around my mouth. I couldn't be more thrilled with the under-eye results. My eyes look wonderful. However, the lines around my mouth still seem pretty pronounced to me. My surgeon said that they would not go away completely, but rather soften. Is it possible for my surgeon to use more of the product for even better results? I think he was very conservative with the injection
Tags:
22 Doctor Answers |
Asked by
GL in CA
in Folsom, CA
+1
Juvederm for marionette lines works well
Juvederm is a very thick injection. It is perfect for deep nasolabial lines. However, for thin lines around the mouth it is too viscous. You can inject a modest amount into the lips. More is not better in this area because they will be too large and thick and lumpy.
+1
How Much Juvederm is Enough?
My philosophy for treatment with tissue fillers such as Juvederm is to be conservative in the amount that I inject for the simple reason that it is easier to inject more filler than to treat an area that is over-filled.
So I suggest that you return to your plastic surgeon so that you can discuss your goals and expectations regarding your Juvederm treatments.
+1
Additional Juvederm?
Hi GL. Yes, it is usually possible to improve the results by using more filler. As your doctor pointed out, the goal of volume correction is typically to soften and not to erase the lines that concern you. However, when additional correction is desired, the use of additional product is an option to consider. A conservative approach is desirable in most cases, since it is more predictable, less time consuming and less costly to slowly add volume than it is to overcorrect and attempt to remove...
more
You might also like...
Real Stories
Lip Injections Soo Worth It - Altamonte Springs, FL
I had two sessions of the lip injections using juvederm ultra. I love the results and the...
+1
Combination of filler and botox best for lines around the mouth
Fillers such as Juvederm or Restylane are great for replenishing volumes and propping up valleys around the mouth. However, good portion of vertical lines on upper and lower lips is due to the way muscles (that are responsible for lip pursing) contract and judicious placement of small amount of Botox or Dysport can make a big difference. Fractional CO2 laser resurfacing can provide good long-term solution but one would still need volume replacment with fillers and muscle relaxation with...
more
+1
Fine lines of the mouth
The fine lines around the mouth are difficult to treat. Juvederm has a thicker viscosity and if overfilled can cause lumpiness along the treated lines. If you are a smoker or drink with a straw it is possible to treat these lines with a couple of units of Botox. The only problem with this option is it can distort the shape of your mouth when you pucker due to the weakening of the muscles. I would return to your PS and discuss all of the available options. I hope this...
more
+1
You may not be able to get rid of all of the lines around your lips with Juvederm.
While fillers like Juvederm and Restylane work very well to flil the lines around the lips, some lines are so deeply folded that laser resurfacing is necessary to completely get rid of the lines.
+1
A Work in Progress
I agree that it is difficult to eradicate the fine lines around the mouth. You cannot put so much filler in them, as they will look lumpy. You may need to go back every few months for a little bit more, to layer the filler. The filler will also help to stimulate your own collagen formation. I agree that the goal is to soften.
+1
Juvederm - How much is enough
One common misconception is that one syringe of Juvederm can be used to treat the whole face. In most cases, you need at least 1/2 syringe for each undereye and a whole syringe for each nasolabial fold. I generally suggested starting with 1/2 a syringe in each fold and then adding more if needed. On average, for a full face treatment, patient use anywhere between 2 to 6 syringes. If you post before and after pictures, we may be able to give you more specific advice....
more
+1
More juvaderm
Making your lips look better could mean more. I have learned that simply filling volume loss in the lower face (with Radiesse for example) can bring out the lips and soften their look without even touching the lips. If there is "volume loss" around the lip area a small amount of Radiesse (placed very carefully) around the area can smooth out deep wrinkles greatly. Then more Juvaderm can be used to fill in some of the more superficial lines. Make sure you go to someone with lots of...
more
Tulsa Dermatologist
+1
More Juvederm?
Greetings~
It's difficult to say without seeing you and your particular concerns if more Juvederm is the answer. Certainly, this may be all you need. It's always easier to add more to an area than it is to take away so as injectors we would much rather err on the side of not enough rather than too much. When you refer to the lines around the mouth, if you mean the vertical lip lines above the upper lip, it can be difficult to get the improvement you may...
more
+1
Juvederm around the lips
Additional Juvederm can be injected to improve the wrinkles around the lips. The wrinkles won't completely go away, but they can be greatly improved. Having said that, overinjecting fillers can lead to an unnatural appearance. i typically show my patients how it looks as I am injecting to avoid that type of result.
+1
More Juvederm
I would have to see you in person to tell you whether or not you need more product. I definitely agree with the approach your doctor took - being conservative is always best since it's always possible to add product. I'd recommend you return to your doctor for an evaluation to see if more product would help you. I'm sure he/she would be happy to help you.
Dr. Cat Begovic M.D.
+1
More Juvederm?
I like your chosen surgeon's approach, being very careful is NEVER a bad thing. Yes return for further injections.
+1
Better less then more always
Be happy your surgeon was conservative as you state as it is best to error on the side of conservatism rather then dealing with a patient who has been over injected. I would simply go back to the surgeon who injected you and discuss the areas you are looking for more filler in. Sometimes filler is not enough to correct all of the problems a patient wants corrected and you will need to discuss this with your surgeon. If he/she feels this is the best correction to the area you can receive...
more
+1
There are several options
There are several things that can be used to correct this depending on what you mean by around your mouth. If you are talking about wrinkles around your lips they can often be pulled out a bit with filler in the lips themselves. Sometimes deeper creases can be relaxed with bottom or dysport around the lips . If the wrinkles are really coarse you might need some laser there. If you mean the parentheses around the mouth then
I would suggest radiesse.
+1
Combo Therapy is the answer when fillers aren't enough around the lip
Lines around the mouth are tricky. Too little and you don't get the improvement you want and too much and you look like a duck! Small amounts of filler work best for a natural look. We often use Botox to soften the tendency to purse the lips which contributes to the lines. Chemical peels and Fraxel are more aggressive office procedures that have limited downtimes and can help if Botox and fillers don't satisfy you.
Best Regards,
KC
Los Gatos Plastic Surgeon
+1
More Juvederm?
Sure, more can be placed but aesthetically speaking be careful what you wish for. that is, improving lines may give the unintended consequence of making the upper lip too prominent. Daffy Duck like. trust your PS, if he/she did a good job under the eyes (technically challenging), then I would definitely trust their judgement. good luck.
Boca Raton Plastic Surgeon
+1
More juvederm
You need to consult your surgeon for advice. More filler can be added but, the question is: will it help. Sometimes you van only get just so much fille into a space but, I would ask.
+1
Yes, Juviderm can be added to naso-labial creases.
Yes, Juviderm can be added to naso-labial creases but Radiesse I think is better for this problem and gives longer lasting results--2 years or more.
+1
Juvederm works great when combined with other treatments to improve wrinkles around the mouth
Too much juvederm or any filler above the lip can look very unnatural if over done so I would be very careful about adding more filler to that area. The other issue is that many of the "smokers lines" can be superficial and there are no fillers for those types of lines available in this country at this time.
I would ask the doctor about considering adding botox treatments (must be done very carefully) and laser treatments, possibly with a fractional CO2, or a few ematrix...
more
New York Dermatologic Surgeon
+1
Jowls can be softened with fillers
Of course, more fillers can be added to the jowl area (marrionette lines). I prefer Perlane for this area as it's a bit thicker and has improved fill capacity over Restylane or Juvederm IMHO.
+1
Lines Around The Mouth And Juvederm
Lines around the mouth are usually due to skin etching rather volume loss. Fillers help with volume loss and therefore are limited in the amount of improvement they give to the etched lines in the skin. Whether to add more is an individual decision between you and your physician.
Good luck
Tom Kaniff
Comments (0)