I had 1cc of Juvederm injected into my lips yesterday and absolutely hate how they look?

Question

Where should I ask for the dissolver to be placed so that I can have a more natural shape but still keep filler in my lips? Can I just partially dissolve it? How long should I wait? I'm very upset because I had put the money aside for it and cannot afford to pay for another syringe at the moment. Would wydase etc dissolve everything? I still want the filler but a more natural look! It also caused weird lines around my mouth.

Michael A. Persky, MD · Answer

Hi V,Sorry to hear about your lip injection dissatisfaction.  It appears that your lips were large and pretty to begin with, and then on top of that too much Juvederm was injected.  At this point it is best to wait a few days and then consult with someone whose artistic vision can be trusted.  Most likely you will have some of the recent filler dissolved with hyaluronidase.  I would begin with your upper lip because the natural ratio of beautiful lips is the lower lip being about 1.6 times larger than the upper.  As with all aesthetic treatments, the most important aspect of your treatment is making sure that you choose your physician most carefully based on their skill, experience, knowledge, and natural artistic vision.  Good luck and be well.Dr. PEncino, CA

Michelle Spring, MD, FACS · Answer

As the others have said, please try to be patient!  I ask my patients to wait a full two weeks prior to considering making adjustments to the lips.  The first two to three days are typically the worst for most people and some patients swell much more than most.  Talk to your injector and let him or her know that you have concerns.  Good luck!Sincerely,Dr. Michelle Spring

Daniel Barrett, MD · Answer

Dear V1988,Juvederm has significant swelling post injection. I would follow up with you plastic surgeon but typically I tell all my patients to wait a full two weeks.  Generally at 2 weeks they are happy and glad they didn't dissolve.  Dissolving is unpredictable as well.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Harold J. Kaplan, MD · Answer

Hello,
As the other panel members suggested, you most likely are having expected swelling after treatment - very common.  It would be too soon to make a decision as to whether or not you will like the final result.  Being that this was a big financial investment, give it at least one more week.  Generally speaking, swelling will improve with each passing day with use of Ibuprofen, Benadryl, and leaving the area alone.  If these measures and time does not improve the appearance, we suggest addressing your concerns with the practitioner.  If your injector is not willing to help you meet your goals, using small increments of Vitrase will help lessen the fullness but retain the benefits you would like to retain.  We have much experience in helping patients from outside practices correct their original treatment plan.

John J. Martin, Jr., MD · Answer

You should expect to be swollen for several days after Juvederm in the lips.  You had large lips to start - so not sure how big you wanted them to be.  But if they are full to start, will look pretty big right after the injections.  Give it a couple of weeks.  Try icing today.

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. You have swelling, which can take 1-2 weeks to resolve after lip injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Gordon Andan, MD · Answer

First, don’t panic. Since it’s only been one day since getting your lip fillers, you probably still have some significant swelling, which could be creating the unwanted shape you’ve described. Before opting to have the filler dissolved, wait a few more days to see if swelling starts to go down and your lips begin to appear smoother and more natural looking. If you’re still unhappy with your results after all swelling and other temporary side effects have diminished, consult your cosmetic surgeon’s office about getting your filler dissolved. Keep in mind, though, that it can be very difficult to only partially dissolve the product, so you may need to completely remove it and start over. Hang in there!

Kouros Azar, MD · Answer

For now, don't do anything. It may take at least 2 weeks for the swelling to subside and for you to actually see your results. At that point, if you still aren't happy then yes, see your injector about having some or all of the filler dissolved.

Camille Cash, MD · Answer

I'm sorry you are unhappy wit your filler treatment.  Swelling and bruising are common after lip fillers and can persist up to two weeks.  You want to wait until after that time to have the filler dissolved, as it will be unclear what is product and what is swelling up to that point.

Martie Gidon, MD, FRCPC, FAAD · Answer

Please be patient.  It takes about two weeks to see your final result after Juvederm lip injections because of swelling.  If you are still unhappy, please return to your doctor for assessment.

I had 1cc of Juvederm injected into my lips yesterday and absolutely hate how they look?

Answers (15)

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