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Is It Safe to Add Juvederm to Lips with Restylane?

I already have Restylane in my lips. Is it safe to add Juvederm Ultra? I've been getting Restylane lipp injected into my lips and have been unhappy with the lumps that have formed because of either an inexperienced injector or the Restylane. It certainly looks like the Restylane hasn't been injected deep enough.

Anyway I’m getting Juvederm Ultra injected very very soon. Could anyone tell me if would it be safe enough to inject another filler in my lips when there’s still Restylane there?

Asked 36 months ago by Daisy Bell in uk
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+2

Juvederm and Restylane

These two hyaluronic acid fillers do not negatively affect each other in any way. In general, restylane does not have any greater tendency to form lumps than Juvederm. You might want to consider waiting until the lumps resolve or have them dissolved with hyaluronidase before Juvederm injections. Good luck.
Bryan K. Chen, MD
San Diego Dermatologist
+2

Its safe to inject Juvederm Ultra

Yes, it is safe to inject Juvederm ultra into the lips even if you have had Restylane. I would probably use Juvederm ultraplus since both products produce a smooth lip line and add volume to the lips. 
Brenda Dintiman, MD
Fairfax Dermatologic Surgeon
+2

It is safe, but you might need some Restylane removed to minimize lumps

It is perfectly safe to combine these two products in the same patient and in the same location. I am speaking from the treating physician perspective as well as the patient perspective, as I had Juvederm put in my lips soon after Restylane. A note of caution: if the Restylane injections were not done well, you might want to find a different provider to do your Juvederm injections, to make sure you are happier with the overall results. If the Restylane was done too superficial, causing... more
Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon
+1

Juvederm Added to Restylane For Lip Enhancement

There should be no significant issues with adding the Juvederm to your lips for volume enhancement and further reshaping. Both products are based on hyaluronic acid and can be blended without much consequence.
John M. Hilinski, MD
San Diego Facial Plastic Surgeon
+1

Combining Restylane and Juvederm for lip augmentation

Absolutely.  Juvederm and Restylane belong to the same class of HA fillers and can be combined.  I would recommend an Arnica based ointment like Bruise-Stick before injection of facial fillers. 
Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon
+1

Juvederm and Restylane

It is totally safe to inject Juvederm into an area where you have already had Restylane injected. The products are very similar and in my extensive experience there has been no reactions between the two fillers. You should always seek a board certified physician for these types of injections, because the skill and experience of the injector is critical in preventing lumps.
Daniel Reichner, MD
Newport Beach Plastic Surgeon
+1

Some physicians layer different fillers

There shouldn’t be any chemical reaction between the two, but there can be (very rarely) delayed reactions to a filler. If you develop a reaction in the future, you might not know whether the Restylane or Juvederm was responsible. However, it is not unusual for physicians to layer different fillers on top of each other placing the thicker filler deeper and the thinner filler on top. If your lumps occurred immediately after the treatment, please realize that they may easily be... more
Ronald Shelton, MD
Manhattan Dermatologist
+1

Shouldn't be a problem

Juvederm and restylane are similar products.  Juvederm has more crosslinking which means it should last longer.  IF placed properly there is no lumpiness.  It works great on lips lasting up to 6 months
Robert M. Jensen, MD
Medford Plastic Surgeon
+1

Yes

Juvederm and Restylane are very similar products. Each has slightly different characteristics that are advantageous in certain situations. In addition they work just fine together. We often treat patients with both Juvederm and Restylane in the same area. It is perfectly safe to do this. Hope this helps.
Marc Cohen, MD
Philadelphia Oculoplastic Surgeon
+1

Juvederm on Top of Restylane in the Lips, Is it Safe?

Hi Daisy Bell, Relax and enjoy the Juvederm Ultra Plus.  It is perfectly safe to add Juvederm to lips that already have Restylane.  Good luck and be well. Dr. P
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Safe to use Juvederm with Restylane in same area

There is no contraindication to using Restylane and Juvederm Ultra in the same area.  Both are hyaluronic acid fillers and are safe when used together.  I believe the lumps in your lips are a result of the injection technique and not the actual product. 
Felix Kuo, MD
Long Island Dermatologist
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