I see two sides of the issue here. Was enough injected to see a result? I would say YES as seen in the posted photos. But it is not enough of a change to satisfy you. The other side is the injector? Why a RN? Better to see and be injected by an experienced MD. Finally, you might have unrealistic expectations as to the amount of improvement vs volume injected.
First of all, be careful what you ask for. I agree with Dr. Blinski that you have adequate fullness in your lips after two syringes. I would make sure that you had two 1 mL syringes, because this is a relatively large amount to inject in anybody's lips. Larger lips at this point will lead to a stigmatic look. If you aren't fully confident in your results, its is best to see a "core trained" MD injector.
I am assuming that you had two full 1ml syringes of Juvederm injected? That's my first question. There are smaller sizes of fillers that people will sometimes opt for in order to save money, and then be unsatisfied that there's not enough change. I can see the changes, but if they aren't enough for you, you should seek one or two options, or both: 1. a different injector who is preferably a physician, or 2. a different filler like Restylane or Perlane. Juvederm is a thinner filler and injects smoothly, but doesn't have the same particle size as Restylane or Perlane, so for people who want more oomph, I recommend one of these fillers as opposed to Juvederm.
"This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."
I agree with all of the other physicians' comments. You may have received smaller syringes and two of those may actually add up to only one cc.
If you spent under $400 a syringe you probably received 0.5 cc syringes and may need a little more product.
Thank you for your question. It does usually take 1-2 weeks to see the final results of juvederm. Your lips do look fuller in the after photo, but obviously not to the extent that you would like. If the nurse injector works for a plastic surgeon I would ask to discuss your concerns with them. I think you would benefit by having someone with more experience and training help you to achieve the look you are striving for. Good luck.
I suggest you visit a physician injector that is a plastic surgeon or dermatologist. The PHYSICIAN doing your injection should have answers and solutions for you. My Best, Dr C