One Side of Lip Larger Than the Other After Juvederm. Is This Normal?

I recently had Juvederm injected into both my bottom and top lip.It left me with a terrible bruise and one side is larger than the other with a bulge above my lip. It has been 4 days and thought it was maybe just more swollen on one side... But it has not gone away. How long should I wait till it can be corrected? I would not want to re-inject more juvederm as I think they are large enough, is it possible to use Hyaluronidase injections to even out the other side without having to dissolve everything?

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10 Doctor Answers | Asked by gabsbunnyy

Doctor Answers (10)
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Post Juvederm Swelling

Thank you for your question. I would wait about 2 weeks and get re evaluated by your injector. The swelling and bruising can last up to 2 weeks so its best to wait for everything to settle first. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for an evaluation and for the safest and most effective treatments. I hope this helps.

Juvederm Swelling

Four days is a little too early to see the final result particularly if you experienced bad bruising. I recommend giving it a full two weeks after your procedure before deciding either way. At his point I would recommend to continue to wait for any residual swelling to abate itself. Using hyaluronidase is a “shotgun” approach and it would dissolve most if not all the Juvederm. A much more precise technique which may be employed by your doctor is to make a very... more

Lip filler uneven

It is best to wait 2 weeks if things appear uneven. Very commonly, it is as simple as one side having more or deeper of a bruise, or binding more water than the other side, it usually settles down quite nicely. That said, if still uneven, hyaluronidase by an expert injector such as a dermatologist can dissolve any excess hyaluronic acid filler.

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

Lump post lip inject

You are only 4 days so I would be patient.What you see and feel may be a little bleeding that occurred so massage and patience.

Juvederm and uneven lips

It can take about 2 weeks for the puffiness to resolve after Juvederm injections into the lips, especially if you developed a bruise. Wait the 2 weeks and if your lips are still uneven, return to your physician for an adjustment.

Uneven lips after Juvederm

A small hematoma on the bruised side may be the cause for uneven lips. Eat fresh pineapple and wait a week or two if possible. Hyaluronidase will dissolve all the Juvederm quickly. In the future, bruising can be minimized with stopping aspirin and ibuprofen at least 10 days prior, eating fresh pineapple, applying ice, and using blunt cannulas. Fish oils and some herbal remedies increase bruising too. When you are being injected, ask for a mirror and check... more

Uneven lips 4 days after filler injections

It is always advisable to wait at least one and preferably two weeks for all of the swelling to resolve before assessing the results of filler injections, especially a hyaluronic acid filler like Juvederm. I always recommend waiting several weeks for the swelling to go down after the treatment before worrying about any long-term adverse effects or considering any "touch-up" treatments such as additional filler injections or reversing the treatment using hyaluronidase.

Uneven lips after filler

Wait at least two weeks and then follow up with your physician. A vast majority of problems will be gone by the two week mark. If not it is very likely a simple fix to either add more to one side, massage the fuller side or rarely use hyaluronidase to dissolve some of the product on the fuller side.

What to do for uneven lips after Juvederm UPXC?

Injecting Dermal fillers is a skill and an Art. It is possible that it was injected unevenly. So if there is more on one side than the other, this can be corrected. But you want to be sure the bruise and all the swelling is resolved before attempting further correction. Sometimes massage alone will correct it. Other times, it's adding a bit more to one area. As a last resort we can dissolve a lump of product or an "over" correction with Vitrase. Again, it takes skill and a good... more

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Uneven lips after Juvederm

Swelling and bruising after fillers, especially in the lip area, can last for up to about 2 weeks. It's hard to say if you have too much filler in one side, or if that side just got more swollen at this point. I don't do any corrections until a minimum of 10 days have passed because it takes that long for swelling and bruising to resolve, then a true assessment of the filler in there can be ascertained.