I have had Juvederm Ultra, more filler was injected into the upper lip. I feel that it is asymmetrical. What should I do?(Photo)
Doctor Answers (7)
Secondly, if two weeks have not yet elapsed since the #Juvederm Ultra was injected, I would definitely wait before doing anything, as the slight asymmetry you perceive may resolve completely.
Thirdly, if the asymetry does not resolve, you can have some hyaluronidase injected to the top lip and/or a SMALL amount of Juvederm Ultra injected to correct the asymetry of your upper lip.
Lastly, you are absolutely correct to perceive that the upper lip is too large for the lower lip. The ratio should be 1:1.618 (the Golden Ratio of phi), so if this does not resolve, it should be rebalanced. Again, this can be achieved by either injecting hyaluronidase, which need not dissolve all of the injected product, to the upper lip, or adding more product to the lower lip, depending upon how your lips look without any swelling.
Too much Juvederm in the lips - what are the options?
We suggest that having the bottom lip slightly fuller than the top lip lends to a more natural, appealing outcome..it's all about balance.
Using Vitrase (hyaluronidase) to dissolve a small amount of the product would be an excellent option with very quick improvement. If the injector is experienced with the use of this product, it's possible to reduce the area without dissolving the benefits that you want to enjoy and made a financial investment for.
Regardless of MD or RN, make certain that whomever treats you is knowledgeable and skilled in the use of Hyaluronidase and understands your treatment goals.
Please see the below link to read about the use of Hyaluronidase to dissolve Juvederm and to view our before and after photos for Los Angeles and Orange County.
Juvederm Ultra for Fuller Lips | Touch up for Asymmetry
If you have a touch up, be very conservative.
Also, Vitrase and Hylenex and difficult to adjust for how much gets dissolved. Usually, all of the filler goes away. Be cautious.
To be sure, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.
I hope this helps.
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You may have a small amount of hyaluronidase dissolve some of the excess filler in your lips. This should be done conservatively to maintain most of the filler in your lip while reducing the asymmetry. Make sure that you choose your expert injecting physician most carefully. Good luck and be well.
Michael Persky, MD
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.