What Can I Do About Puffy Lip 6 Weeks After Juverderm?

I had juverderm for upper lip wrinkles 6 weeks ago. My surgeon gave me 2 syringes in my upper lip and now it's so puffy I'm so embarresed to go out. I called and asked about Hyaluronidase but they didn't have it. Also I have read a lot about side effects. What can I do at this point?

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10 Doctor Answers | Asked by betty in canada in halifax

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Overdone Juvederm in the lips, or anywhere on the face can be dissolved

If Hyaluronic Acid fillers such as Juvederm and Restylane are conservatively and artistically used, it is rare that they need to be dissolved. Sometimes it's over-done or some areas appear lumpy. I suggest patients wait 2 weeks for any swelling to go down. After that, hyaluronic acid fillers can be dissolved by simple injections with an enzyme called Hyaluronidase to dissolve the filler. Of course, the best treatment for over-filled lips, cheeks and eyelids is to use... more

Answer to RealSelf.com about Juvederm injections

Betty- Two syringes for the upper lip is quite a bit. Unless your plan was to have a very full upper lip, 2 cc's is way too much. Your lip will likely remain puffy until the Juvederm is resorbed or you have some hyaluronidase injected. While the injector states that "he does not have" this agent, it is simply a matter of ordering it. You may, however, wish to see another physician who has more experience with injectables and the use of hyaluronidase.... more

Too much filler in lips

I am sorry, but it sound slike you have too much filler in the lips. The only way I know to reduce it at this point is to use hyaluronidase to disolve it. If not , over tiem it will go dissolve.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Too much Juvederm

Two syringes of Juvederm is way too much for the upper lip. Always ask about the experience of the injecting physician and make sure they have all of the "tools" to use, such as all of the various facial fillers (Sculptra, Radiesse, Perlane, Restylane, and Juvederm) that are approved for use in the United States. The effectiveness of your treatment depends on your physician’s ability to visualize the desired changes and to select and skillfully administer the best treatments... more

That's a lot of Juvederm for a lip

Two syringes of Juvederm sounds like a lot for an upper lip. What about your lower lip? Was any injected in lower lip or elsewhere? If all of the two syringes(if they were full stock size syringes) went to upper lip sounds like a bit much. Some doctors separate a company syringe into many tiny ones and if that is the case I might be telling you the wrong thing. All that being said, if YOU think that the lip is too big, the best choice is hyaluronidase. Go to someone that has it. Make... more

Puffy Lips From Juvederm

It sounds like you have too much filler in your upper lip. If your injector does not have Hyaluronidase, perhaps he or she can suggest someone that has it. There are virtually no risks to Hyaluronidase other than possible bruising as might occur from any other injection. Sometimes more than one injection is required depending on the amount of material that needs to be dissolved. Another option is to wait until it goes away on its own. This depends on the... more

Juvederm in upper lip

Your choices are to wait for the filler to dissolve over time or find a surgeon who can dissolve it. Most reputable offices that do a lot of fillers stock hyaluronidase "just in case" and have some experience using it.

Too much Juvederm

Two syringes for the upper lip alone seems excessive. You need hyaluronidase injection to dissolve some of the Juvederm. Call around till you find someone with experience in that. I am not aware of any complications following cosmetic use of this product. All of my injections have been satisfactory and straightforward.

Too much juvaderm in lips.

I am not surprised that you are unhappy. Unless you said you want huge lips, 2 syringes of Juvederm in an upper lip is a lot. I have patients who do get 2 syringes in their upper lip, but I do think I have done this on a first visit. The change is more than most people would be happy with. You are correct that Hyaluronidase is the answer. It is unfortunate that your surgeon does not have it. Your best bet may be to talk with another plastic surgeon... more