2 weeks post Juvederm Ultra 3 touch up in my top lip. It's uneven and droopy. Thoughts or advice? (photos)

Question

I had 1ml of juvadem ultra 3 in 4 weeks ago. My injector recommended coming back for 0.2ml to even out the top lip. I had this done 2 weeks ago and have been left with this. I have been massaging every day and I can’t see/feel any lumps. It just looks quite droopy? My injector wants to wait another 2 weeks to see if it evens out as she thinks it’s congealed? It straightens out when I smile. Previously I’ve had 4ml over 2.5 years and haven’t experienced this.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Based on the images, it does appear some additional waiting time may be prudent. If you are still unhappy with your appearance in two weeks, I would schedule a follow-up with your injector. It is possible you might like your result better if you remove a bit of the filler from the lower lip, which appears to be a bit overfilled. Always work with an experienced, qualified injector to ensure the most natural, beautiful results.

Camille Cash, MD · Answer

The lower lip looks like it has a little too much filler.  I recommend giving it a couple of weeks to see if any more swelling will resolve.  If not you may want to consider dissolving some of it with hyaluronidase.

Monica Boen, MD · Answer

I agree that you need to give it a bit more time before deciding if you want to dissolve any of the filler. I would return to your doctor in two weeks for a follow-up assessment. If you are still unhappy with the results of your procedure at this time, you can use hyaluronidase to dissolve filler and restore your original look. At that point, I would encourage you to see a board-certified cosmetic dermatologist who is also an expert injector for a full assessment and personalized treatment plan. Good luck to you!

Onir Spiegel, DDS, PhD · Answer

My recommendation is exploring newer better products.  I personally stopped injecting Juvederm Ulta a few years ago. I find I have much better consistent results with Restylane and Versa. Wait another week or so and consider hyaluronidase to take out some of the material and start with a clean plate.  Good luck from Boston.

Douglas Taranow, DO, FACOS · Answer

Thanks for the question and photos.Your lower lip looks a bit over injected and there are a few lumps seen in the upper lip.  I agree with waiting a few weeks before adding or subtracting material (using a hyaluronidase injection).  I personally feel a little reduction in the lower lip size and if needed, some in the overfilled areas of the upper lip.Best of luck.Dr T

2 weeks post Juvederm Ultra 3 touch up in my top lip. It's uneven and droopy. Thoughts or advice? (photos)

Answers (6)

Answer: Juvederm Ultra causing bumps in the upper lip

Answer: Juvederm Ultra causing bumps in the upper lip

Answer: Juvederm

Answer: Juvederm

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.

2 weeks post Juvederm Ultra 3 touch up in my top lip. It's uneven and droopy. Thoughts or advice? (photos)

Answers (6)

Answer: Juvederm Ultra causing bumps in the upper lip

Answer: Juvederm Ultra causing bumps in the upper lip

Answer: Juvederm

Answer: Juvederm

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.