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What Caused Rapid Loss of Juvederm Filler in my Lips?

I had my lips filled with Juvederm back in June. At the beginning of July I had a touch up performed. My lips looked great for about a month. Little over a week ago the volume in my lips went down considerably. My doctor is suggesting to wait at least another month or two before another procedure as there is still a little volume to be seen.

Is this an effect that is common? Does smoking have any negative effect on the filler? Do I get charged the same amount of money next time I go? Thank you in advance for your help.

Doctor Answers (11)

They don't call them "Smoker's Lines" for nothing.

+5

Hi Yana,

I agree with Dr. Salemy. As with other aspects of your health, certainly smoking can adversely affect the longevity of the product. If you have to return within a month for more product, you may ask your physician if you can be charged for the wholesale cost of the product only. The less you move and use your lips, the longer the product will usually last. Be well.

Dr. P


Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Yana, Even though we are told that Juvederm can last up...

+4

Yana,

Even though we are told that Juvederm can last up to a year, the reality is this varies from patient to patient. Some folks metabolize the product much quicker than others, so what has happened with your lips does sometimes happen.

Two other factors that sometimes cause this more rapid loss of volume after injection include the depth of injection (how deep the product was placed) as well as the amount. If the Juvederm was injected too deep, it has a tendency to sometimes be absorbed more quickly than we would like. In addition, if there was not enough product used, it will look ok for a bit, but once all the swelling goes down, there will be a need to do a repeat injection. For this reason, I will often times have patients come back at a week or so after the procedure to see if we need to do any more.

In terms of cost, this varies from one provider to the next, but many will charge by the syringe, so don't be surprised if you are asked to pay for another procedure.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 103 reviews

Lip fillers like Juvederm and Restylane come with some initial swelling.

+2

The loss of volume you noticed about a month after lip fillers is normal, and is more likely associated with reduction of lingering swelling that is common when lips are treated. Do not worry about this, and in fact, be comfortable going back for small touch ups until you achieve the look you want AFTER the month of swelling reduces. Careful addition of more is always better than too much!

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.5 out of 5 stars 40 reviews

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If Juvederm only lasts 1 month its probably Swelling

+1

With lip injections I find that most patients have some degree of swelling, of which most will go down within a few days but some can linger up to 1 month.  When a filler such as Juvederm or Restylane seems to disappear in 1 month or less it is actually the swelling that is disappearing.  I tell my patients to think of the swelling as a bonus, its like getting extra filler for free, but unfortunately it only lasts a short time.  I also tell them to think of it as a preview of what more product might look like.  If you liked your lips better with some swelling, then the amount of product that was used on your lips was just not enough for what you want to see as the final product.  You should have some more put in and yes, you will be charged for it.  Fillers are charged by the syringe, so the more you want to have, the more it will cost.

Lorrie Klein, MD
Laguna Niguel Dermatologic Surgeon
5.0 out of 5 stars 173 reviews

Juvederm and lip augmentation

+1

Juvederm augmentation for lips is an excellent procedure. It typically lasts from three to six months depending upon the individual. However, some patients who uses their lips alot and especially with smokers the cosmetic effect may be shortened. There is some evidence that with repeated augmentations that the cosmetic results may last longer. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Longevity of Juvederm

+1

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring.

Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye.
This dermal filler usually lasts approximately 8 to 10 months after injection. However, every patient is different and the amount of time in the last in your skin may vary. If you have noticed a significant decrease in a short period of time, it may be that he required more Juvederm to be injected than the amount you received.

Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience with facial rejuvenation using dermal fillers.
 

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 69 reviews

Juvederm in lips

+1

Juvederm in the lips can last up to 6 months because the lips a mobile structure. It is not common for it to last just one month but your body might metabolize this product differently then the average person who gets filler. Smoking can have negative effect with filler especially around the lips or mouth because you are always moving them which can decease the longevity of the product. The answer to your last question will have to answered with the doctor that you went to. I would say yes you would get charge for the product.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 10 reviews

Factors that influence Juvederm results duration

+1

Although Juvederm effects are promoted as lasting up to 18 months - this claim is not necessarily pertaining to the lip and mouth areas wherein product degrades much more readily. This study is also based on the fact of having touch ups at very specific times. Besides the repeated action that comes with smoking, excessive UV exposure may also degrade the product much quicker. You may also want to try Restylane with your next treatment to compare the two products. We have several patients and staff members that saw increased duration of results with Restylane than Juvederm when used in the mouth/lips.

With regards to further expense, this is a question for your injector. Keep in mind that you are not only paying for the product but a service as well. Although you were unable to maintain your benefits like most, this should not devalue the service that was provided. However, it wouldn't hurt to pose the question. Establishing a trusting, long-time relationship with your practitioner will benefit the both of you.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Juvederm does not last as long in the lips.

+1

Hi.

1) Because the lips move so much, Juvederm injections in the lips do not last as long as in other places. But one month is unusually short. Of course I don't know what happened.

2) I would try it one more time. It might be related to technique. But if you looked good initially, your doctor probably did a good job.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

Juvederm is great for lip augmentation

+1

In general, cross linked hyaluronic acid fillers (e.g Juvederm) are excellent for creating lip volume and last 3-6 months.  There is some initial swelling with the injection that resolves over 30 days, so the lip may lose some volume.

Robert Mounsey, MD
Toronto Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

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.