How can I restore my Juvederm lips to normal? (Photos)

Question

I had 0.5ml of Juvederm injected into my lips 1.5 years ago. This summer, my injector gave me four separate rounds of hylenex, but my lips (the top in particular) remain bumpy when I smile. I am not sure if more hylenex is appropriate or if I need to seek out a specialist recommendations in MA welcome! Who can assess the nature of the soft bumps and determine if a steroid injection (for scar tissue/granuloma) or laser treatment is suitable. What do you think the bumps are? Any recommendations?

Raffy Karamanoukian, MD, FACS · Answer

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

reverse the fillers with hyaluronidase and then reinject in the future. start emeragecosmetics lip essentials package to keep the skin hydrated and plump. Best, Dr. Emer.

Onir Spiegel, DDS, PhD · Answer

All HA fillers like Juvederm will be dissolved with enough hyaluronidase.  It's all about ratios. You should also ice and massage the area right after the hyaluronidase is injected. My recommendation is have a true honest conversation with the doctor to make sure they help you achieve your goals. And next time try a different filler. Best from Boston, Dr. Onir

How can I restore my Juvederm lips to normal? (Photos)

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How can I restore my Juvederm lips to normal? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.