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Why has my lip filler (Juvederm 4) gone above my lip line? (photo)

M
milly84Jan 3, 2018

I had 1ml juverderm 4 in my lips in Dec. It’s been 3 weeks and it looks like the filler is above my lips instead of in my lips. I’m gutted. The place I went to has amazing reviews. When I pour it looks ridiculous. Can it migrate? Is it my anatomy? And will it cause permanent damage ie will it create pockets that will fill if I ever have filler again?

Answers (4)

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Dr. Aldo Guerra, MD
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Dr. Aldo Guerra, MD
Board Certified Plastic Surgeon
4.9 | 276 Reviews
Answered on Jan 7, 2018
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1 person found this helpful
Dr. Harold J. Kaplan, MD
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Dr. Harold J. Kaplan, MD
Board Certified Facial Plastic Surgeon
4.8 | 20 Reviews
Answered on Mar 9, 2018
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Dr. Daniel Barrett, MD
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Dr. Daniel Barrett, MD
Board Certified Plastic Surgeon
4.8 | 184 Reviews
Answered on Jan 5, 2018
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Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Jan 5, 2018
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Kevin M. Johnson, MD, FACS

I would recommend getting the dental work first. A filler is a foreign substance that remains in your body for several months. Although infections involving fillers are exceedingly low, they can occur. Another phenomenon is the formation of a biofilm around the filler which can...

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Jonathan Kulbersh, MD

This sounds like superficially placed filler. It can be reversed with hyaluronidase. I hope this helps. 

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Nelson Castillo, MD

Thank you for sharing your question and photographs and I am sorry that your current results are not what you anticipated.  Your lumps are due to filler that was placed too superficially and after two weeks should be dissolved.  Hope this helps.

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Harold J. Kaplan, MD

Hi Anon.  You do have very strong cheekbones and to get a softer appearance, using a dermal filler in the mid face would be one solution.  We prefer Restylane Lyft, Radiesse and Sculptra in the cheeks, but with the right injector you have many options.  Hyaluronic acid products like Res...

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Gary Linkov, MD

There will be no effect at all on the sinuses. The sinuses will be on the other side of the bone and filler will not penetrate the bone. The main risk will be intravascular injection or an asymmetric injection. Best of luck.  Gary Linkov, MD

+9 answers
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Jason Emer, MD

There can be some swelling and/or lumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have...

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