Uneven Juvederm (Nasolabial) Has Ruined my Smile

I went for Juvederm injections around my mouth for...

I went for Juvederm injections around my mouth for the third time in November this time has left me feeling embarrassed and low in confidence. The left side of my face is more puffed out than the right and when I smile I have two huge bumps at either side of my nose. I also have a bluish tint to the surrounding skin.

So, I saw another plastic surgeon who assured me...

So, I saw another plastic surgeon who assured me that with one syringe of dermal filler he could solve the problems of my lumpy filler. I had this done with him two weeks ago now and my naso-labial area looks worse than ever. I still have the dumpling effect that was there before, in addition to a defined line where he injected the new filler. Also, weirdly, when I smile my nose becomes a lot wider than it ever did before. I'm so upset and at a loss now as what to do because I can't afford to keep having so many treatments and I feel so embarrassed to smile. Any advice would be much appreciated. My fiancé is in the US military and we are currently stationed in Europe so it's difficult for me to access many plastic surgeons who speak English and that I trust.

I saw my plastic surgeon yesterday and he advised...

I saw my plastic surgeon yesterday and he advised against dissolving the filler. He believes that we should put more filler in the dimpled areas, deciding together, in a mirror exactly where we should go. He said this would make the area around my mouth smoother and the last problem would be the lump on the left side. He said it would be too iffy to try and dissolve this and believes that since that part of the filler has been there since November I should try an wait it out until it dissolves. I agree but is a hard decision because I am getting married in ten weeks! I am going to continue massaging that area and hope for the best I think. Any opinions on this would be much appreciated! X
Clinica Gibino

This doctor advertises within the military base as he speaks English and has done some training in the States so people trust him.

1 out of 5 stars Overall rating
3 out of 5 stars Doctor's bedside manner
3 out of 5 stars Answered my questions
2 out of 5 stars After care follow-up
3 out of 5 stars Time spent with me
2 out of 5 stars Phone or email responsiveness
2 out of 5 stars Staff professionalism & courtesy
3 out of 5 stars Payment process
3 out of 5 stars Wait tmes
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So sorry to hear :( I also got bad juv in my nose . Dr told me it would make my tip appear smaller and instead made me look like a clown . He tried to dissolve it but that didn't work. It will b a year in aug now and it's still there . I am so depressed . I try not to look in a mirror . I wonder will it ever go back to normal . Or am I stuck like this forever? Has yours gone away at all ? Or what happened u decided to get more ?
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Sorry, meant to say that I do feel your pain.
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It's been 7mo since my Juvederm procedure and my face completely changed. I no longer have my natural features. The doc injected it between my chin and my jaw, when I smile my high cheekbone disappears, it’s one big round cheek -no contours. This has made me depressed and I even developed body dysmorphia. I can't see myself in the mirror. I just want my pretty smile back and feel confident. If I’m serious I look like a bulldog, if I smile like a clown. So, I do feel my pain. I am praying that this thing will just wear off. I am so sorry what happened to you.
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I'm so sorry for you too and I TOTALLY understand how you feel. My face is still so uneven and there has been days when I feel so ugly I don't even want to leave the house. I am now getting wrinkles around my eyes too because there is so much filler in my cheeks that when I smile the whole lot pushes upwards (if that even makes sense?!) Don't let it get you down, I promise you that even though we really notice it, it's not so noticeable to others or so I have been assured. It takes a while to dissolve for sure, I had mine done in November and then "corrected" in January and its still not showing signs of going. Chin up, I'm sure you are Still beautiful and try to remember what I always tell myself....it won't be there forever, eventually it will dissolve and your face will be back to normal. Feel free to PM me if you need to vent ;-) xxx
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Hi.. I had 1ml of juvederm ultra injected in my upper lip last May- I wasn't happy with the results that first month but figured I'd just wait it out.. I've now been waiting 12 months.. The thing I dislike most about how my lips look is how when I smile they make my entire face look plastic! And my smile lines (i.e. just beneath my cheeks) are so much more deeper than previously- it looks as though I've gained a lot of weight in my face only.. I had just decided to have it removed this week but have now read a few awful stories re removal and am thinking it might be best to wait a few months more as I've already waited this long... Has anyone else had juvederm ultra last so long? If so, how long did it take to completely dissolve?
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Mine seems to be lasting forever too. They say it lasts 6-9 months but I have had it a few times now and I'd say mine lasts about 14 months. I would definitely think that you could do see a practitioner and see what they suggest?
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I had regular juv in my nose and hate it and it's a year now and the junk still won't go away I am so depressed . I feel like it never going to leave . I understand your pain . I am sorry for u
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I actually had juvederm injected into my smoker lines and the doctor said it wouldn't change the shape of my lips. WELL....IT ABSOLUTELY changed the shape of my lips and I hated it. He never had to use the dissolver on anyone before and I wanted it out so I was his first victim! Everyone could tell something was different about my mouth. He wanted me to wait it out and I said no. Well...he killed me injecting the dissolver and it did not dissolve all the filler. My lips were still a little swollen and I had a big dent in the area ABOVE my lip and in the corner of my mouth was a dent and a lump....so now I do believe it when people say this stuff can dissolve your own tissue. I don't know if the dents will resolve over time, but I don't think I will ever get fillers dissolved anywhere again. I'll just have to wait it out. I've had the dissolver before, years ago with another PS, and it didn't cause any problems with my own HA. So....lots of luck and best wishes to you!
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Oh no that's awful! I ABSOLUTELY agree that it can change the shape of your face. I never used to have a wide nose before I had filler and now when I smile it spreads, I believe it's because the filler was placed Too close to the side of my nose. How does yours look now?
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I am hoping that things have settled down for you a bit now and that you are seeing the result you desire? Either way, I just wanted to say from personal experience that ‘chasing’ misplaced filler can be tempting but for me has never worked out well. I found it is better to just massage and let it dissipate on its own. I have also had misplaced filler removed with Hyaluronidas which took a few days to totally dissolve and for the swelling to go down.
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I had a horrible experience with juvederm in my lips and my plastic surgeon discouraged me from dissolving it, and just waiting it out. I was miserable and went to get a second opinion from a very good dermatologist. He said we should absolutely dissolve it and so we did. Although it did not completely fix the problems I was having, it was a huge improvement. I felt like I could leave the house again! Juvederm can't take years to really go away so I wouldn't wait. Especially if you're getting married so soon.

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Sorry you are going through this! Your photo actually doesn't look too bad, but its awful when you get fillers to look better and end up looking worse. I've been having juvederm complications around my smile as well from poorly placed juvederm plus. Mine makes me l
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-iPhone cut me off! My juvederm swells dependent on the day and I also have some hard lumps near my mouth. I've learned that drinking plenty of water and eating healthy helps keep the swelling down. Ive tried having the enzyme to remove it which hasnt helped much. Hopefully yours will resolve soon. How much juvederm were you injected with and which formula was it (juvederm plus, ultra, regular)?
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Good Luck, Scotgirl whatever happens. I hope it disapates quickly for you if you don't get the hylaronidase. I do agree with Triny about the dissolver. We are all different and some people have had bad outcomes using it.
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I wonder if they carry the hylaronidase to dissolve it for you? I think they should give that to you at no charge! It's supposed to put your face back to the way it was before the juvederm.
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Sorry Scotsgirl, just realized you're in Scotland.
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What part of Europe are you stationed? I hope everything works out for you soon.
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We are in Sicily. I'm from Scotland though!
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Oh Okay, Sicily. Kta recommends asking about hylaronidase to dissolve the filler but please read up on this site about the positives and negatives first! Maybe its better to contact a few here and ask what they went through and how long it took to work, if it worked at all.
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I have decided against it after talking with my plastic surgeon yesterday, will update my profile!
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When I go to get my Juverderm topped up\done, I always hold the mirror and explain and mark with pen exactly where I want it to go. ..I think this is how I've got good results. Never just leave it to the injector, as they don't know your face how you do!
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I think the Juverderm was not injected deep enough if you can see a blueish tint.... Also if one side is bigger than the other it could be one side is attracting move water than the other .... Did she inject equal amounts in either side?
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She said that the fold was deeper on my left side than the right which was odd because I originally went because I had a deep fold in my left side (this was the first time I ever went for fillers) She injected much closer to my nose than last time and since she did that my nose seems to "spread" when I smile. I feel so self conscious and really frustrated.
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Judging by your photo, I would say it's very bad injection technique! You have more than enough to start up a case to try get your money back as you have not got what you paid for! From both surgeons too!
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I thought as much, I feel so embarrassed. Tomorrow I am going back in to see the second doctor and am in talks with the first one. Ill let you knowz
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