4 days after Juvederm my top lip still larger than the bottom. Will it get better? Will Zyrtec help with swelling? (photos)

Dear Funny570,
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

Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Thank you for sharing your question and photographs.  I am sorry to hear of your difficulties after filler placement but rest assured these symptoms will all get better over the next 10 days.  It often takes up to 2 weeks for fillers to soften and the tissues to appear more natural.  In the meantime try reducing the swelling by using cold compresses to your lips and elevating your head at night with a couple of extra pillows behind your back.  You may want to also consider using Arnica Montana and bromelain as supplements.  Hang in there, and if no improvement over the next several days, have your injector add some hyaluronidase to dissolve some of your upper lip fullness.  Hope this helps.

It is normal to see some swelling especially for a few days following your injection, and it is not uncommon for that swelling to be worse in some areas.  The swelling from the injection should go down after about two weeks at which point your lips will look better. You may want to ice your lips to help reduce the swelling or you can contact your physician immediately as some physicians will prescribe anti-inflammatories or steroids to help reduce swelling.  After two weeks, if your lips are overfilled to your taste or you continue to have concerns, I would recommend scheduling a follow up visit with your provider to go over your results.  Your provider can dissolve your filler, but that is a discussion best to have in person. 

Hello and thank you for your question.  Swelling asymmetrically after lip injections is very common.  Give your lips 2 weeks to settle.  By that time swelling should be gone and you can make a final decision.  If asymmetry is still present follow up with injector.  If at any point prior to the 2 weeks your uncomfortable or nervous about your result, contact your injector and possibly go in for follow up.   Your provider should be happy to reassure you, piece of mind is a wonderful thing!   Good luck to you! hope this helps.......

Thankyou for your question. Lips swell and the swelling can be asymmetrical. It needs 2 weeks to settle and then if you are still unhappy you should go back to your injection to get some of the filler dissolved. Ice will help with the swelling  Hope this helps and good luck

Swelling is common after lip injections, which could lead to an asymmetrical appearance.  Swelling resolves typically within two weeks.  If after that time you still have concerns, return to your injector for an evaluation.

Thanks for writing,Sorry to hear of your difficulties. Who injected you? A nurse? A injector specialist? A spa? A physician?Sometimes the most important thing is, who is driving the needle. What is their experience? How did they get trained? A weekend course? We see a moderate amount of this around here. That being said, now it's a waiting game, iced compresses may help. Usually by day 10 what you see is what you get. There is a dissolving agent, but sometimes that can make things worse. I would certainly let your injector know of your concerns. I hope this helps good luckStephen M. Davis, MD, FACSCertified: American Board of Plastic SurgeryMember: American Society for Aesthetic Plastic SurgeryMember: American Society of Plastic SurgeonsMember:RealSelf Hall of Fame

It often takes up to two weeks for filler swelling to settle down. I would give it more time but also please be in touch with the doctor that did your injections. They may decide to give you some predisone to decrease the swelling more quickly.Dr. Quenby Erickson, FAAD

Thank you for your question! Lips will absolutely swell post injection. Over the next 2 weeks the swelling in the lips will continue to improve. We say for lip fillers "Don't love them or hate them for 2 weeks". Sleeping with an extra pillow will help with the swelling as well as applying cool compresses intermittently. Zyrtec may also help with the swelling. If at 2 weeks you are dissatisfied then your injector may reverse the filler with hyaluronidase as long as there are no contraindications.