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

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.

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.......