Numbness and Crooked Smile After Juvederm with Dental Block? (photo)

Question

I was injected with Juvederm two days ago. While I realize that some of my problem is with swelling that recede, I'm very concerned that my lips are still numb and my smile is crooked. Will this go away shortly?

A.J. Amadi, MD · Answer

Looking at your photo without the smile, it seems that the right side of your lower lip is fuller than the left. This may be due to swelling. If after a week this has not resolved, you may need additional filler on the left side to achieve better symmetry.

	Your smiling photo just shows this asymmetry in a different position. It is unlikely related to muscle/nerve weakness from the dental block 2 days ago.

Kenneth Hughes, MD · Answer

I do not use the dental blocks for the Juvederm, but the numbness may be residual from the block.  The asymmetry may be combination of swelling, bruising, and product placement.

Sam Naficy, MD, FACS · Answer

2 days is probably not long enough for swelling to settle.  You should give it a few more days then see your provider for recheck.

Martie Gidon, MD, FRCPC, FAAD · Answer

You should return to your physician for assessment. The swelling may be causing the numbness. The bruising may last another week and it can take 2 weeks to see the final result. If there is still asymmetry, your physician can adjust it.

Robert Brueck, MD · Answer

This should go away in time.Everyone responds differently to locals and injectables but I would massage and be patient.

Diane Walder, MD · Answer

Hi! Usually local anesthesia wears off in a few hours, however every individual is different and metabolizes anesthetics differently. It is more likely that the asymmetry is from the residual swelling, which can last a few days. As the swelling subsides, it should get better. However, asymmetry that does not improve past a few days should warrant a follow up with the provider that injected the filler.

Darryl J. Blinski, MD · Answer

Very unusual to have sustain numbness and lip muscle paresis from dental block lasting more than a few hours. If the needle traumatized the nerve than this could account for these issues. Or a large amount of HA filler causing swelling + bleeding could be the issues. Or a combination of both. Most likely return to normal sensation and function is a factor of time. But best to be seen by the injected doc in person.

Steven Swengel, MD · Answer

Local anesthetic wears off within a couple of hours, so I think the loss of sensation is due to all the swelling of your lips. That is a lot of bruising and bruising is part of the injury that includes swelling. If when bruising is gone you are still looking uneven and have residual numbness, time to go back to your injector for some warranty work.

Steven Wallach, MD · Answer

The numbness may be relatd to swelling. Local from a block wears off in a few hours.  Give it a few more days to get better. If concerned see your injector.

Francis R. Palmer, III, MD (retired) · Answer

the dental block as well as the local within the Juvederm is causing the lip numbness. The asymmetry can be related to the dental block as well as the localised swelling from the Lip Augmentation. If you're concerned, you should contact the MD that did the Juvederm injections but this type of swelling typically subsides within a week at most. The amount of swelling and brusing, in the photos provided, is quite significant as you can see form the video below of Lip Augmentation with Juvederm.

Numbness and Crooked Smile After Juvederm with Dental Block? (photo)

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