Juvederm Reviews
65%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
744 Reviews
Juvedermbefore & after photos
View Before and Afters

Average Juvederm Cost: $675

Learn about Juvederm

2,119 people and 632 doctors are talking about Juvederm

Get Free Email Updates

“Loose Skin Around Mouth After Juvederm in Lips - Philadelphia, PA”

User removed by request
Not Worth It
Spent: $600 in Philadelphia, PA

Comments (74)

Updated 16 Apr 2010

Posted 26 Aug 2009

I recently had juvederm done in the lips. It looked good for about 2 days until the initial swelling went down and I noticed loose skin on the sides of my lips (I'll call them lip jowls). They form a severe line and cover the end of my smile like a flap. No clue where this skin came from - I've always had thin, flat features and tight skin below my cheeks. From the side view I now look 10 years older!

Its not like the lips are even big, but she did have to build out the upper lip. I'm thinking because I had such flat lips and features, that building out the upper lip may have been too much for my thin face and pulled skin out and down. I went back for some corrections for this, and again it looked great until the initial swelling went down. Now I see nothing but the flaps and new marionette lines that form on each side when I smile because of excess skin.

Im 38 and always passed for 30. Now I look much older. I cant go to my 20 year reunion looking like this. I cant see my boyfriend. I basically have shut myself in from everyone so they cant see me. I literally have scotch taped my cheeks back so I dont have to see it when I look in the mirror!

Updated on Aug 27, 2009:

 today.. 2 days after my initial post I have the same mouth pouches and when I smile I look like the joker.  In addition a new problem has been forming that I notice at night (when my face volume is lower) Im getting deep trenches next to my nose... like juvederm has pulled my cheeks down and away from my nose. I never had that before!  Im going to a plastic surgeon today to see if he can remove this hell from my face, but I think the saggy skin may be permanent.

Updated on Apr 15, 2010:

Is this common and how would you correct this? More filler? Titan or Thermage? I wish it were as easy as scotch tape. Is it possible to be swollen after 3 weeks or can Juvederm really pull your whole face down??

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

Helpful review?

My Doctor:

She has destroyed my mouth and my beautiful smile by injecting in all the wrong places around my mouth. I used to have a great smile I could be proud of, now just mouth jowels. My lips are horribly uneven and smile is like a clown. For the first few months I could barely even smile wide. At 9 months, I can now smile wider but the jowels and joker curl are no better. I've had one plastic surgeon offer to do a case study. Two others just tell me this is a "horrible" result. Yes it is. And it doesn't end.

Comments (74)

Post a Comment Sort:
morena 28 Aug 2009
ask ur question under the option "ask a doctor". i asked my question in the review form and got no responses, but after asking the same question under "ask a doctor" i then got several professional responses...
VICTORIA1Z 28 Aug 2009
I haven't seen your before pic so I have nothing to compare it to but i do know this...women are so hard on themselves. I am hard on my self. I had some fat put into my cheeks and lips many years ago when it was a new thing--I would say 14 years ago--I looked like a blow fish for about 3 weeks. Once I resigned myself to it and prayed alot, and finally began to relax and hope for the best, most of it dissolved and what was left was really very nice! Moral...try to relax. Being upset makes the situation worse. Pray and ask God for faith that you can believe Him to change your smile back or at least correct it. Faith and Prayer help in every situation. Studies prove that! Once you relax and give it over to God, I honestly believe you will begin to see that it isn't as bad as you think or if it is, that it will now get better! Best wishes. :)
tried but failed 29 Aug 2009
I'm pretty sure God won't help you but time probably will. If you can't wait, then please be careful using hyaluronidase (branded vitrase or hydase) to dissolve the juvederm because lots of people (me!) are hypersensitive to it. It sounds like a quick fix for unwanted hyaluronic acid filler (juvederm / restylane) but it can cause lots of problems of its own. Make sure you get an allergy test in your arm before you let them put it near your face. And on the aesthetics of your lips, I know it probably looks ghastly to you, but in all honesty your lips look fine to me. Maybe it is just a bit of swelling and it will go down soon? You only had the juvederm very recently. That being said, everyone keeps telling me that my botox disaster is not as bad as I think but I now avoid mirrors too and I have been hiding at home for 7 weeks. The boyfriend (shallow cad) has decided it is all too hard and has departed already!
jlosc 29 Aug 2009
I've been reading that these injections are diluted with saline. I'm wondering how much saline your doctor used in the injections? (the amount of saline would determine the potency of the injection) I'm new to this, and having my procedures done on Monday Aug 31 (terrified too), but today, I'm going to the Doctors seminar, and I have a WHOLE LONG LIST of questions to ask. I've researched his experience and he has 15 yrs in facial cosmetic surgery procedures. I HOPE your problem resolves itself. I'd be interested to know what caused the problem. The writer above made a good suggestion... POST A QUESTION to an MD on the home page. GOOD LUCK!!
Mishka 29 Aug 2009
This looks identical to my problem!-But he also filled my whole face with it-created wrinkles and joker mouth (worse than yours)I had to go back 3 times before the maniac agreed to take some out-it has helped slightly- things are shrinking back. I will go next week and find someone to take the rest out. I also am thin with tighter skin,allergic to everything,but no problem with hyaluronidase.
Happywithme (unregistered guest) 29 Aug 2009
I thought the stuff migrated but I'm recalling now she said she wanted to "open up my mouth" a bit wider. I think (even though I was numb and didnt feel where it was going) that it may have been injected at or really near the corners of my mouth. Bad idea for such a narrow face! Its one thing to build out the lip but I never said I needed a wider smile. It must be what is causing all the wrinkles. Had injections with Witase by a plastic surgeon on Thurs which thank God has flattened it some - more on the right than the left. Still some lumps left on the left so I may go back for it. He's trying to convince me to get Sculptra to build out my cheeks and help with whatever loose skin is left. Right. I can just imagine that would somehow end up being my next nightmare after reading all of those posts here!
Mishka 29 Aug 2009
I think the skin will tighten up-also I was told it can take a few injections to get rid of it all(I will probably need 200)-Personally would try laser type stuff before fillers-they scare me now-you have a pretty face,and I think Sculptra is hard to get out! Also injected in corners of mouth! Dr. wanted to use as much as he could,and was running out of places to put it!
tried but failed 30 Aug 2009
It just beggars belief that when something goes wrong none of these medical professionals give the sensible advice of LEAVE IT ALONE FOR A WHILE. It is good that the hyaluronidase is working for you to correct your problem and I think people have less issues with hyaluronidase around the mouth than around the eyes, so that's good for you! But as to going on to have another procedure done so soon after a disaster? I am amazed any responsible medical professional would even suggest it! And Sculptra - MY GOD! - you only have to look at EVG1994's post to see that Sculptra is NOT WORTH THE RISK for anyone. I would take loose skin over Sculptra granulomas any day of the week! Cheers
Melted2012 19 Apr 2012
Hi, I had a similar experience recently. Wondering how you are and how things turned out? I see you haven't been on this site in a while, so assuming things are fine now? In case you check in, I was hoping to communicate with you. I'm just starting my juvederm/hyuralindase nightmare.. ;(
Best,
H
Happywithme (unregistered guest) 3 Sep 2009
Update - the nightmare continues ... had injection of vitrase and previously mentioned witase around corners of mouth..at 200 and 350 a pop. Second doc I went to said it was really deep so he tried to get at it from inside the mouth. I thought I had seen improvement but that was just swelling covering the loads of juvederm she put in the corners that WILL NOT GO AWAY. What is this, cement? The lines and parentheses will continue through my 20 year reunion, family reunion and wedding. Ironically, the second injection of vitrase took away the juvederm above my lips, so I actually have to get that reinjected. By someone else. I hope these mouth jowls are not permanent, and I hope the juvederm there isnt either. Im so scared that it hasnt dissolved by now.
tried but failed 4 Sep 2009
Are you absolutely positive it is juvederm?
Happywithme (unregistered guest) 4 Sep 2009
I saw the box and syringe, and I know she doesnt use anything other than Juve or Resty. But if you're asking if Im sure it's product or muscle or my face or something, all I can say is I can feel little firm lumps and columns underneath the skin and so could the docs I'd seen to dissolve it. Unless I've developed tumors or some crazy condition (at this point with my luck, maybe I shouldnt rule it out), I cant imagine its anything else, because my face, my lips, my corners of my lips and my cheeks were all flat and tight before the day she injected me. So I guess I just wait and see... :-(
tried but failed 4 Sep 2009
As long as it is juvederm or restylane that should be a relief to you! At least hyaluronic acid fillers go away unlike some of the other types and there is unlikely to be any long term damage. Did you have botox anywhere on your face at the same time as the juvederm around your mouth? Are you improving at all? Has the joker smile disappeared at all? Best wishes.
PaSi 4 Sep 2009
I hope you can find the answers for your complains. I also had juvederm, on cheeks, nasolabial folds ans corner of the mouth because they were pointing down. My advice to you is to let it be for a while, The first time it took a month before the swelling was not obvious, and after that several weeks to really go back to normal, is this time, some areas look strange, and folds and creases appear, but a lot will most likely go away. I'm not saying that the jog was well done, I'm just saying you have to wait until you can analyse the results, once I understood this (in the day I was injected), I did not looked in the mirror more than the absolute necessary for 3 weeks, so I would not get paranoid. I remember one corner of my mouth looking quite strange, but afterwards this went away. Please, try to avoid looking in the mirror and give it time, and DON'T do anything else before a few months, because if you do the professional will be working on a swelled face, not on your face has it will be after a few weeks, and that can be a recipe for disaster. Hope you consider my advices, believe me I understand your anxiety, but will not help you make wise choices.
tried but failed 4 Sep 2009
Oh good advice PaSi! I had restylane dissolved in my tear troughs with hyaluronidase (I don't know which brand) and the swelling was incredible. I was too hasty in trying to correct the problem and have only ended up with more problems. If I had been more patient then the doctor who was doing the correction would not have been working around swelling. Hyaluronidase does cause terrible swelling, so maybe it is best to wait for a while until you are sure that this is the 'final' result? In an effort to fix things quickly, my disasters just got worse and worse. I am now compelled to be patient for months because of the final disaster - botox - and we all know there is no cure for that but time. I wish the doctors I went to had actually refused to try 'corrections'. I am sure the swelling under my eyes from the hyaluronidase would have resolved itself eventually. I just felt that I couldn't wait and it was a mistake. It was a very hard lesson to learn. Patience.
Happywithme (unregistered guest) 4 Sep 2009
Thats good advice.. definitely tempting to try to correct everything right away when you're afraid for people (particularly at work) will see what you've done to yourself. Quite an irony that my "mouth cheeks" are now bigger than (and outlasting) the lips that I paid $600 for, and that so many milestone events are coming up during this time. It's so true.. I really do need to stay away from mirrors and my computer camera documenting my changing appearance (because it does change every single day and I've been taking pictures every day!). Thankful for this cyber support group. Ok I'll give it some time, I really hope this stuff doesnt last as long as they say.
tried but failed 4 Sep 2009
I too documented all the (hideous) changes to my eyes and face in the first few weeks after my botox disaster! It is easy to lose perspective and the camera does not lie. When I consulted a plastic surgeon for a second opinion he initially told me that it was all in my head. I couldn't believe what I was hearing. When I showed him the photos that demonstrate the very, very obvious change in my facial appearance after the botox (I have cheek ptosis) he could hardly deny it but then told me that the photos were evidence that I was obsessed with it all and I should seek psychiatric help. Body dysmorphic disorder apparently. I might point out that I saw this doctor only a few weeks after the botox injections and my face was a total mess. Of course I was upset! The idiot doctor thought I had taken the photos because I wanted to sue the injector and he didn't want to be involved in a lawsuit against another doctor. As if!! Who the hell would want any of this nightmare to be public??! I just want it to go away already. It has been 8 weeks since the botox and it is slowly, slowly, slowly improving. It is an excruciating wait. Good luck and keep us posted. Cheers
tried but failed 5 Sep 2009
Any improvement? Have things settled down a bit yet?
Happywithme (unregistered guest) 6 Sep 2009
I wish I had good news, but not at all... the only thing that's settled down is I lost my top lip volume, which almost makes these mouth cheeks more prominent. I want to cry, and I do, but I have to find a way to live with this. Im scared it may be permanent, but I have to convince myself its just juvederm and will go away. I cant believe how hideous my smile is, when that used to be my best feature. She took away my smile and I really want it back. :-(
tried but failed 7 Sep 2009
Yes! Hang on to the fact that it is not permanent. And apparently not very long-lasting around the mouth. I had it once for lines on either side of my mouth. I have to confess that I didn't notice much difference so I didn't bother with it again but I am confident that it was gone pretty quickly. Couple of months. From your posts, it appears that your injector 'tried something new'. Why? If you have had this before and it worked for you how it was done previously, why did the injector try something new to make your 'mouth wider'? I don't get it. I am shocked that they are having such difficulty getting rid of it with hyaluronidase. Usually that stuff works so well on juvederm and the real danger is it dissolving natural tissue. Keep us updated. I feel for you! Cheers
Happywithme (unregistered guest) 7 Sep 2009
I dont know why it wont go away. It scares the heck out of me. And I seriously want to try to dissolve it again. As for trying something new, this was the first time I was ever injected (and last time I will ever do it). If I could go to a desert island for the next 8 months and hide out I would. I hope it doesnt last as long as she said it would.
tried but failed 7 Sep 2009
Oh no! I didn't realise it was the your first time for juvederm. So you don't even have any previous experience with how long it lasts for you? Apparently the longevity of juvederms varies a lot because everyone metabolizes it at their own rate. Maybe you could make an appointment for more dissolving in about four weeks, which should give both the hyaluronidase swelling and the product some time to settle down? I know how hard it is to just wait and do nothing! And don't stop taking photos. You will never know if there is real change or improvement otherwise or the rate at which you are progressing. I still take photos. At first I took a lot (because I could not believe what I was seeing), then once a week and now once a fortnight. I take them in the same place so that the lighting is the same. I would rather know for sure if it is getting better/getting worse/staying the same through the objective view of the camera because I know perception gets distorted. Has anyone at work noticed or said anything? I looked so dreadful for about the first 8 weeks or so from my fiasco(s) that I had to make up a myriad of stories at work about allergies etc. Very stressful! Good idea about the desert island. We should invite everyone from the 'injectables gone bad' club to hide out there for a few months! In fact, let's start a resort. Perhaps celebrities only pretend to go to rehab, but they are really in hiding from injectables disasters??! It would certainly explain why some of them seem to drop off the planet for months at a time then reappear looking so refreshed...
Happywithme (unregistered guest) 20 Sep 2009
Update @ almost 2 months: What I have left now after the swelling and dissolves is a funny uneven visibly lumpy upper lip while the giant parentheses around my mouth are still going strong and are the most prominent features on my face. I wake up every day and look in the mirror regretting this. I should have researched doctors more carefully, but I thought I could trust a pretty well known Philadelphia dermatologist. She obviously had no clue about facial aesthetics and now I have to pay for it for God knows how many months this crap lasts. One of the cosmetic surgeons I went to questioned whether I just never noticed the skin hanging before, and suggested my face had just "fallen". Despite the pictures I showed him of how my mouth looked a week before Juvederm (no jowls). Despite the fact my mouth now looks 58 and I'm 38, and none of my friends seem to have this issue. Oh, and then he told me I should consider a facelift to get rid of the loose skin. I wish I could just find a doctor I could trust for once! If this is permanent I swear I will die.
Mishka 21 Sep 2009
I wonder if there are different strengths of Hyaluronidase. The first appointment I had took more down than the second. The second seemed as though it might of worked-then the stuff came back! Reformed or whatever! This is so weird. The hard lumps above my lips are coming back,and my lip shape(that had almost gone back to normal)is getting the joker-parentheses thing again. I see another plastic surgeon Friday-also looking at myself 1000 times a day and crying. Would like to hide. Would like to sue everyone!
Happywithme (unregistered guest) 21 Sep 2009
I completely understand. I cry all the time, and obsessively look at my mouth. And now Im obsessed with looking at other people's mouths and how no one... not even way older women... have these weird pouches and hanging skin like I do. I never thought someone could destroy the entire structure of your mouth with Juvederm All I wanted was a little volume in my upper lip, not a whole new mouth. I'd love to shout my doctor's name from the rooftops and tell everyone to stay far far away.... I curse her name every time I look in the mirror and see Steven Tyler's mouth. And similar to you, the stuff seems to have come back stronger and reformed after the second Vitrase injection. Why is that? What scares me is if it's changed my mouth for good. The only thing that gets me through is thinking that maybe my face could return to normal in the spring. Thats a long freaking time to pay for my doctor's stupid mistake.

Post a Comment

used for verification

Read more Juvederm reviews

“Juvaaderm Drama - Nose” 9 comments
“Wasted my Money with Juvederm for Nasolabial Folds” 2 comments
“Juvederm Ultra for Lip Augmentation” 1 comment
“Juvederm - Duckbill Lips” 12 comments