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.

2 answers to “What caused rapid loss of Juvederm...”

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

Michael A. Persky, MD

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. ... more

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

Shahram Salemy, MD

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... more

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