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How Can I Reduce the Juvederm in my Lips?

I just had my lips done with Juvederm four days ago, and my upper lip looks bigger. I am not happy with it. Is there anything I can do to remove some of it? Please help.

Asked 33 months ago by Salsera in Silver Spring, MD

Read my review "Upper Lips Too Big - Washington D.C. "

Sort 10 expert answers by:
+2

Wait and Return To Physician

I would recommend waiting another ten days or so. What you are seeing may be due to swelling and bleeding. The lips are very vascular and can swell quite readily. Also, some of the effects of your dental block might be lingering. If you are still displeased with the result, this can be adjusted with the careful administration of hyaluronidase which will dissolve the excess Juvederm. Another technique would be using an #11 scalpel blade and squeezing the unwanted Juvderm out. Good luck.... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
+1

Swelling after juvederm

I would generally recommend careful observation. For most patients, the vast majority of swelling will occur and maximize three days after injection. You might find settling over the next couple of weeks that could result in a perfect result. Having said that, hyaluronidase could be immediately used as an injection to clear excessive product, if that is the case. I would speak with your surgeon and consider your options carefully. It would be disappointing to... more
Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
+1

Upper lip too big after Juvederm Injections

The upper lip should look smaller than the lower lip by about 1/3 But, after 4 days, it is difficult to know how big your upper lip will eventually look. I would wait at least 5 more days. If you are still not pleased with how your lip looks, you can return to the Dr who inmjected the Juvederm and have him/her inject Hyaluronidase to remove the excess The net result should be a subtle improvement in the appearance of your upper lip relative to how it looked... more
Eugene Mandrea, MD
Chicago Dermatologist
+1

How Can I Reduce the Juvederm in my Lips?

You should wait a month and then if you are still unhappy you can get an injection of hyaluronidase which will get read of the Juvederm. I think juvederm is not the best product for the lips because it can diffuse too much. 
Farhad Rafizadeh, MD
Morristown Plastic Surgeon
+1

Juvederm in the lips?

Salsera, It has not been that long since your injection, so wait a few more days for all of the swelling to resolve. As an aside, in my experience, Juvederm does not provide an optimal appearance in the lips after the injection. Most people need more definition to their lips, not just fullness. Juvederm is a thin filler. When it is injected it tends to spread out. Therefore, if you are trying to get definition in the lip border, this filler will not accomplish that. Instead, try a... more
Henry Daniel Sandel IV, MD
Annapolis Facial Plastic Surgeon
+1

Still swollen

The lips are still going to be swollen for 2 to 3 weeks after an injection.  Most patients are satisfied once the swelling goes down.  Hyulronidase can be injected to dissolve the juvederm, but should be used only after the lips have had a chance to heal. 
Robert M. Jensen, MD
Medford Plastic Surgeon
+1

Juvederm to the lips

Four days is not long enough to make a determination that your upper lip is over-filled. I would wait 10 more days until the associated swelling completely resolves before deciding you would like some of the Juvederm dissolved with hyaluronidase. I would also consider firmly massaging the lip before hyaluronidase injections since re-distribution of Juvederm alone may give you the desired appearance of the lip that you are looking for. Good luck.
Bryan K. Chen, MD
San Diego Dermatologist
+1

Swelling will subside

I'd wait at least one week to see the final result. If you are then unhappy, hyaluronidase can be injected to dissolve it very quickly. Be sure the doctor is experienced using the hyaluronidase.  
Mary Lupo, MD
New Orleans Dermatologist
+1

Give Juvederm some more time

4 days is still early after an injection. You could try some ice packs and gentle massage to reduce the bulk of the lip. Ultimately, you will be able to reduce the Juvederm with hyaluronidase. Juvederm tends to absorb water early on which then resolves so it may just take a little more time. 
Samson Lee, MD
Seattle Facial Plastic Surgeon
+1

Just wait

You just had injection and it may take few days the swelling to resolve. If you are not happy after the swelling resolved you can use Hyluronidase to resole the juvaderm.
Kamran Khoobehi, MD
New Orleans Plastic Surgeon
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