Treating Uneven Lips with Botox?

I had a syringe of Juvederm in my lips months ago and they have been slight uneven since that last treatment. My Doctor said injecting 3 units of botox will help the left lip lift up a little. The next day I was massaging my left side...I was actually trying to disperse the lump of Juviderm more evenly and my left lip got swollen. It looks terrible! My doc said swelling is from botox and not related to my massaging it. I'm moving and need to know if the swelling will go down as he said.

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5 Doctor Answers | Asked by 8344anon in San Diego

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Uneven lips after Juvederm

At this point in your treatments I would be more inclined to use a touch of Hyaluronidase to decrease the lump. Swelling from the initial filler injections should have gone away after one week so the remaining asymmetry is due to the filler. I have found that when you try to camouflage a lump it inevitably leads to another problem so you might as well treat the issue and be done with it. Unless you received specific instructions, I would discontinue the massage... more

Swelling after botox in the lip

Unless you have a hematoma, blood collection under the skin, any swelling from Botox should go down by the night of that day or the next day. You may need to followup with your doctor. If it is the Juvederm that did swell after the massage, a situation which I am not aware exists, then hyaluronidase can thin out the swelling. It may disappear in a few days.

Uneven Lips and Swelling from Botox and Juvederm

When injecting Juvederm or Restylane in the lips, there may be some asymmetry from one side to the other. There are several different ways to correct this. Hyaluronidase may be injected in the larger side to remove excess product. More product can be given to the smaller side as well. In some cases, careful use of Botox can also help evert the lip and make it appear bigger as well, which it sounds like your physician did. Depending on the dilution... more

Botulinum Toxin (Dysport and Botox) for asymmetric lip

Botulinum Toxin (Dysport and Botox) may relax the lip muscles but it is difficult to understand the method in which it was used to achieve your desired goal.

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Uneven lips after injections

I don't think that botox will correct filler caused asymmetry. The swelling you are now experiencing may be due to the injections. No matter, things will settle down, and it is wise to not do anything more for a while until things settle.