Too Much Juvederm in Lips?

Question

I need some advice. I had juverderm put into my top lip yesterday and immediately i was upset with the result. I felt too much was put in just for my upper lip, my lips are very swollen today and i can feel a large lump behind the left side of my upper lip, almost under my nose. Is this normal? Ive had juv in my lips twice before and not had this much swelling or pain. The nurse said i have nothing to worry about n the swelling will go down, i dont trust her memore

Jennifer Reichel, MD · Answer

It is absolutely normal to have swelling after lip injection with Juvederm or Restylane. In fact, you can swell one time a lot, and then, with the next injection, not swell much at all. I always warn my patients that they may look like daffy duck and have really puffy lips for a few days. It should go down. The lump is more than likely extra swelling, or even a bruise. Hang in there. Ice should help. If you are really worried, make sure you go back in for a follow-up.

	My recommendation is to wait a couple of weeks and see how things look and then return to see your doctor if you still have any asymmetry or lumpiness. They should be able to correct this.

Young R. Cho, MD, PhD · Answer

Thank you for your question.  It is very common for the lips to look 
over corrected or fake the next day.  I often tell my patients that this
 is the "oh my gosh" day.  This is due to all the swelling 
that ensues.  It may last a few days with every day showing a decrease 
in swelling. The more you ice the first day or two, the less swelling 
you will have.   I would wait a few days to a week and then return to 
your injector if you still have concerns after that.  If there continues to be some imbalance between top and bottom, then you can always consider adding more to the bottom or having some dissolved from the top.

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. I would wait about 2 weeks until the product has settled, and then return for an evaluation. Every injection is different and independent from the last. Sometimes you'll have no bruising or swelling, and at times you will have more. You can take Tylenol, antihistamines, and frequent icing as needed. Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for an evaluation and for the safest and most effective treatments. I hope this helps.

Sam Naficy, MD, FACS · Answer

It is not abnormal to have significant swelling from Juvederm injected into the lips and lip area. Peak swelling can happen around day 3-4 post-treatment, and even then can still take some time to settle down. Using ice and having patience - then following up with the provider after 7-10 days is what I'd recommend.

Benjamin Barankin, MD, FRCPC · Answer

Typically speaking, 1 syringe of filler is good enough for many people. That said, in some patients I will use half a syringe, and in others 1.5 syringes. There is often lip swelling and bruising after injection, and so the end result should not be judged for at least 2 weeks. At that point, hyaluronidase can be used to dissolve any excess filler if that is the case. Dr. Benjamin Barankin, Toronto Dermatology Centre.

Cameron Rokhsar, MD, FAAD · Answer

It is hard to know how much is swelling and how much is product until at least two afters after your procedure. Until then, the body may be causing excess redness, edema, and a feeling of heaviness. I recommend icing and waiting at least another week and a half before you truly evaluate the appearance of your upper lip.

Neil J. Zemmel, MD, FACS · Answer

Most patients do experience swelling after Juvederm, particularly in the lips.  The lump you are feeling is most likely a bruise and will resolve in time. I would wait another week and if it still bothering you return to your plastic surgeon for a reversal. I hope this helps you.

	Kindest regards

	Neil J. Zemmel

Donna Bilu Martin, MD · Answer

It is very common to have swelling in the lips after Juvederm or Restylane injections, as hyaluronic acid attracts water. Both products are often used in the lips and provide great results. Usually, swelling subsides within a week or two and the final result can be assessed. That being said, if there are concerns about the injections, it is always prudent to see the provider that performed the injections. For best results, see a board certified dermatologist with experience in cosmetic procedures. "Duck lips" or "sausage lips" can be avoided by respecting the normal anatomy of the lips and injecting conservative amounts.

Jo Herzog, MD · Answer

Give your lips a chance before you panic. They might be swollen . I would wait at least two weeks before panicking. After that, if you do not like it , it can be dissolved. If you have really hard areas or areas that are turning white/gray, see your doctor ASAP.

Martie Gidon, MD, FRCPC, FAAD · Answer

Please see your injector to determine if the lump is Juvederm, which can be massaged, or a hematoma, which will resolve on its own. Wait 2 weeks for any swelling or bruising to go down and see how you like the result. Your lips should be balanced, with the lower lip being fuller for a natural look. If you are not happy with the result, hyaluronidase can be used to dissolve the Juvederm or more can be added to your lower lip.

Too Much Juvederm in Lips?

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