Next time you have injections get them by an expert injector who uses cannulas as they cause less bruising, pain, and swelling. As well, I love Restylane silk in the lip and suggest you try that next time. Best, Dr. Emer.
Thank you for your question. Sorry to hear about your experience. Slight discomfort during an injection and swelling after an injection are common side effects. It is difficult to assess why your injection was so excruciating.
Perhaps schedule a consultation with an expert injector to be assessed.You may require more product to achieve the desired look.
The lack of volume is probably due to too little filler being used. It also depends on the type of Juvederm used. Some products in the line give you more volume while others are designed to give a softer and more subtle appearance.
The pain is unusual so long after injection. You may have had an unlucky puncture which caused bruising and pain. You should consider going to a plastic surgeon's office and having a professional evaluation to see what you can do next. If you want more volume, you would need closer to a full syringe. It all depends on your physiology and the end result you want to achieve.
You should return to your injector, hopefully a dermatologist or plastic surgeon, for assessment and review of your before photos. If you require more volume, Juvederm Ultra or Ultra Plus may be a better choice.
Pain control during lip injection is usually done with just topical creams in my office. Also, there is lidocaine in Juvederm but not in all the entire product line. It is possible the filler that you got didn't have it. It should not leave you with pain for days though. You were probably bruised as the cause of the pain. LA k of results is related to not enough filler.
Usually I recommend starting with at least 1 syringe of Juvederm when injecting the lips. But is all dependent on how full your lips are naturally. It is always better to start off conservatively and have more injected later if need be. Once you have started having filler injected more frequently you will notice the product lasts longer and that you don't need as much or to be injected as frequently. As far as the discomfort you experienced during the injection that is really dependent on with type of anesthesia you had. The lips are very sensitive and if you use numbing cream you must allow it to take effect, by applying it far enough in advance. I recommend that you inquire about having a dental block prior to your next injection, and should be more comfortable. There are many different types of Juvederm, some with or without lidocaine. Juvederm XC has lidocaine in the syringe, and as the filler is injected the lidocaine helps numb the area as the filler is injected.