What to expect after hyaluronidase to reduce juvaderm in upper lip? Should I take a risk or wait for it to settle? (Photo)

Usually,  I recommend waiting for two weeks or so before administering hyaluronidase, as this allows for enough time to pass for the swelling to go away. The swelling may be hiding your results, and if you have the hyaluronidase now it may "over correct".

Typically, patients should wait for Juvederm to settle down before reversing it with hyaluronidase.  Since Juvederm is hydrophilic (loves water), the face can swell due to water absorption.  Allow your swelling to subside so if you do need hyaluronidase it is more specific.

I typically have patients wait 2 weeks before getting enzyme removal of filler, unless it is drastically irregular or swollen.  Please seen an expert for treatment in the future.  Best, Dr. Emer.

Lips can remain swollen for quite some time after juvederm injection.  Hyaluronidase can be used to break down and dissolve juvederm but I would recommend waiting until the swelling has fully resolved before undergoing hyaluronidase injection.  It is difficult to remove juvederm or other HA fillers in an incremental fashion using hyaluronidase.  Therefore you should expect an "all or none" type of response.  I would recommend being certain that hyaluronidase is needed before undergoing this treatment.

Thank you for your question about Juvederm.It can take 2-3 weeks for the swelling to subside.  You can then get hyaluronidase to dissolve the product if desired.  It will likely dissolve all of it.To be sure, see two or more licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.I hope this helps.

Hyaluronidase can dissolve Juvederm and other HA fillers, and is used to correct irregularities, overinjection and other side effects. It is important to not use it to treat normal swelling however, because when the swelling subsides you may appear undercorrected and need more filler.

After a hyaluronic acid filler (e.g. Juvederm, Restylane), likely the safest fillers developed to date, I advise waiting 2 weeks before any consideration of dissolving it so as to let any swelling and/or bruising settle down. You can use hyaluronidase to dissolve some or all of the filler if need be. As with everything, ideally it is done right to begin with (e.g. by a highly trained expert injector such as a dermatologist) to avoid having to make such touch ups, but sometimes its unavoidable.

I would give it a few more days.  There is a little swelling.  I wouldn't inject the hyaluronidase until the swelling is completely gone.