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Smile line fillers are in the wrong place? A month ago, I got Juvederm filler in my smile lines. (Photos)

Rubydot35Jul 2, 2018
A month later, I am very unsatisfied. I feel as though my smile lines are still there, and there is a ridge along the side instead, along with a bulge on one side of my cheek. I went in to have her look at it, and she said she thought I looked good (mind you--very bright lighting in her office!). I am thinking of making an appointment to get it dissolved. Does this look like a case of misplaced injections, or something else?

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Dr. Jonathan Kulbersh, MD
Board Certified Facial Plastic Surgeon
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Answered on Jul 3, 2018
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Dr. Monika Soni, MD
Board Certified Anesthesiologist
Answered on Dec 10, 2018
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Monika Soni, MD

Thank you for sharing your question and photograph. Though some degree of tissue swelling is expected with a lip augmentation what I think you are referencing in your picture are fordyce spots present along your lip border.  These are normal findings in patients and do not require treatment.

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Jason Emer, MD

Due to health reasons, we do not recommend it. However, it will not affect your fillers. Talk to your doctor about post-op care and directions. Best, Dr. Emer. 

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Jonathan Kulbersh, MD

Swelling can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results, but this may be superficially placed filler. If it is after the two week wait, you can have the filler reversed with hyaluronidase. I hope this helps!

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