Lip Augmentation (Toronto Resident): How Should I "Fix" This? Any Suggestions?

I had Juvederm (1syringe) injection 1 yr ago. My smile is lopsided & others even commented that my lips are crooked (pic attached). Its been like this since the tx but I didnt notice. It's far from being "absorbed" even after a yr. How can I fix this? Hyaluronidase original product then re-do? Add more Juvederm to even it out? Would adding more create a fake look? Will fixing this cost a fortune? Please help! ps If you're in South ON & know you can tackle this issue, please let me know.

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8 Doctor Answers | Asked by kim0221 in Toronto

Doctor Answers (8)
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Crooked smile & juvederm

It is unlikely that this is due to Juvederm. Did you have Botox for crow's feet? This is probably the cause. If absolutely no Botox done, then Hyaluronidase & later on Juvederm if needed. My guess is that Botox on left eye's crow's feet caused the problem that you have. Check date of your last Botox injection. Usually self-corrects in a few months.

Khaled El-Hoshy, MD

Detroit Dermatologic Surgeon

www.elhoshy.com

Crooked lips after filler

You mentioned you didn't notice this at first. It's been more than a year since your Juvederm injection and the vermillion lips look equally thick on both sides. They taper nicely to a fine corner. The commissure, or corner, of the left lip is lower than that of your right! This seems to indicae it's not the filler, which by now is mostly resolved, but if you had Botox for Crow's feet in the last few months, the lowest treatment site might have been placed... more

Lip asymmery after Restylane.

Restylane in the lips lasts several months, so it's unlikely the filler is still there to any large extent. Your picture shows the upper lip is weaker on the left side than the right which is something that would not be caused by the Restylane injections to the lips. If you are looking to increase the size of the upper lip, Alloderm Lip Implants are more reliable as are the silastic lip implant. Nothing put into or injected into the upper lip will change the... more

Crooked after one year....

Greetings~ It's unusual for Juvederm to last that long in the lip, but if there is still a palpable amount of Juvederm in your lip that contributes to the asymmetry I would consider having it dissolved before you try to 'chase' the problem and potentially worsen it. I would have to agree with some of the other responders and question if you had Botox injected in the recent past... this very much does resemble what can happen with Botox injected too low on the crows feet... more

Crooked smile 1 year after lip augmentation with Juvederm

The duration of correction with Juvederm is approximately one year, so by now most if not all of the Juvederm has dissolved. It is not certain how much of a benefit there will be from injecting hyaluronidase, however that is an option. It would be helpful to look at before and after photos of what your lips looked like before treatment, immediately after treatment and now. We all have some degree of asymmetry from one side of the face to another. In order to determine... more

Lip augmentation problem

Juvederm lasts 6 to 8 mo nths, rarely 98 months before it is completely reabsorbed. Do you have any "Before Juvederm" photos of your lips for comparison? You seem to have a minor asymmetry. Have you also had Botox injections? At this point, a Board Certified Dermatologist or Plastic surgeon should be able to reinject Juvederm and at the same time correct the asymmetry. If the asymmetry at rest is corrected but it persists when you smile, you may need a few units of... more

How to Fix Uneven Lips from Juvederm

One year after your Juvederm injection there is most likely not much product left so I don't think hyaluronidase is necessary. Juvederm and Restylane come in smaller "touch-up" sized syringes that should be relatively inexpensive. If it is carefully injected into your lips it can even things out nicely without creating a fake look. Always ask first about the skill and experience of your physician injector. If you don't mind travelling to Burlington, Vermont I would be happy... more

Can dissolve or add

Kim, You can approach this in one of two ways. If you like the fuller side you can add to the other to get a good match. However, keep in mind that you might chase this a bit as the two sides will change at a different rate. You can also try to dissolve and start over. that choice would be good if you didn't like the fuller side at all. I would rather try to get a match than dissolve but I have not ever, thankfully, had to dissolve anyones filler so might be less comfortable with that... more