I have used Juvederm for both my lips and my nasolabial folds. I had my lips done initially about a year ago with Resylane (half syringe) and was reallllllyyy unhappy with the results. Actually, there were no real results, plus I had a ton of swelling, pain (during and after) and bruising that just deflated into nothing. The bruising lasted longer than the results. Waste of $$$$. So I returned to the same doc and I decided to try a full syringe of Juvederm instead upon his recommendation. He iced my face and then did the injection, just like the first time. I had some swelling, some minimal bruising, and pretty uncomfortable pain (during and after). However! I felt like a blown up fish/Real housewife. It was far too much injection for my lips!!! The Juvederm eventually wore off to an acceptable, even pretty amount after about 2 months, but only lasted at that "perfect" stage for about a month before I felt "deflated" once again. After explaining my frustration to friends, who had never had such terrible experiences, I decided to change doctors.  I did more research and visited a doctor who took all the time he needed to find out exactly what I wanted. He spent time taking pictures, looking at my face, talking it all out. This time, we decided together on a full syringe, distributed between my lips and my nasiolabial folds. The doctor used a numbing gel on my lips and laugh lines. He then had the nurse shoot cold air on the spots he was working on. I did not feel a thing at all-nothing. He also gave me arnica pills to take home for 2 days. I LOVE, love love the results. My new doctor left me with literally NO bruising, no pain, and such minimal swelling I felt totally normal going out the same night.  Moral of my long story is-your Doctor has much and more to do with your results than the product (in my opinion). I feel the the Juvederm took 10 years off my face. My smile lines were pretty minimal, but most noticeable from the side. I smoked for about 15 years (quit 3 years ago) and lived in Florida for 10 years. I'm 32. Yeah, gross right? But seriously I felt like I looked 35 and now I look in my 20's, no exaggeration. People never believe I'm over 30. Please do your research-get other people's opinions about the doctors in your area! Don't choose the cheaper doctor or make the decision on anything other than proven track record of the doctor. You need someone who does a lot of these injections and takes the time with you. I had my injection in February and have shown no signs of "deflation" as of April. Love this doctor and my results-totally worth it and I'll never go without it again! Updated on 31 Jan 2017: I continue to use juvederm for my lips, nasolabial folds, marionette lines, and some under the eye. It's an excellent product and I still love the results.

Motivation was to complete first time MOHS surgery successfully. However, even though I was told by Dr. Carney on check up visits, the wound would take a long time to heal due to location on shin & he did not feel skin graft would be a good idea, so it was an open wound. Surgery was on April 28. On July 16, he informed me he was "not happy" with progress & I needed to see someone about a skin graft. I said, "So it's not going to heal?', rather stunned by sudden turn from last visit, & he snapped at me, "That's what I said". He then added I might want to go to a wound center instead & I chose to do that. He walked out & that basically ended my visit.