Why isn’t my Juvederm dissolving and what are my options? (photos)

Question

I got my lips done in 2021 and dissolved my upper lip in 2022 because I noticed some migration, I got them redone in January of 2023 and I noticed my upper lip looked puffy and unattractive when I smiled. I then got them dissolved about a month after and have since dissolved them about 4 times now. It won’t dissolve fully and the pillow above my lip is still there. I got told that maybe the Juvederm has created new cologen there and so that’s why I have that pillow. I need help.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Camille Cash, MD · Answer

I'm sorry you are having issues with your lip filler.  If HA fillers were used for your treatment, then injecting hyaluronidase should correct the issue.  Sometimes multiple treatments are necessary but four treatments should be adequate.  Filler is not permanent, so even if you do nothing further the product will gradually breakdown over time.

Nelson Castillo, MD · Answer

Thank you for sharing your question. Assuming juvederm was used it should be dissolvable with appropriate amounts,
and placement, of hyaluronidase.  Most likely you will need higher doses of the medicine and localization of the filler with US.

Randal Haworth, MD, FACS · Answer

Hello !

It's worth noting that the position of the filler plays a crucial role in determining its solubility. When the filler is located farther from the direct blood supply than other areas, the cells that produce hyaluronidase will not be able to access the hyaluronic acid gel, resulting in its inability to dissolve.

Also, hyaluronic acid is utilized for both medical and cosmetic purposes, and is processed to increase its shelf life and form a hydrogel suitable for injection into the body. The alterations made to the hyaluronic acid prior to injection can influence its solubility and make it harder to dissolve as well.

It can be removed surgically.

I hope this helps,
best of luck !

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

My advice is just leave them alone.  Massage the area several times a day and be patient. 
Best of luck!

Why isn’t my Juvederm dissolving and what are my options? (photos)

Answers (5)

Answer: Filler injections

Answer: Filler injections

Answer: Lip filler

Answer: Lip filler

Recommended reading

Everything you need to know about Juvederm

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

Why isn’t my Juvederm dissolving and what are my options? (photos)

Answers (5)

Answer: Filler injections

Answer: Filler injections

Answer: Lip filler

Answer: Lip filler

Browse related questions

Recommended reading

Everything you need to know about Juvederm

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