I've had perlane and Juvederm ultra fillers in my lips for 9 months.I tried a new clinic and juvederm ultra plus 1st time and went in on 10/5. The NP didn't use the same injection style as my usual person.She filled my top lip ok. On the bottom I want the pout to be more in the middle so she massaged the gel trying to move it to the middle from both sides then a bruise formed right away. it looked horrible right away. She said the filler flipped when she massaged it. she dissolved some of it.