Results after 1ml Juvederm in upper lip only; will 1 more syringe be enough to achieve the aesthetic I want? (Photo)

Question

The full 1ml was in my top lip, as my lower is much larger. Cupid's bow/philtral columns were also created, as mine were flat. Swellings gone & these are my results. I have an appt. on 5/28 for a 2nd syringe to be split btwn both lips- I want much more height/pout to my top lip & the lower to be balanced. Will a 3rd+ syringe be required to get the look I want? Should I add a Botox lip flip & if so, # units? Is the keyhole technique best for creating the division in the top? TIA!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. I would expect you to need more syringes than a half in the upper and lower, but would agree that you do it incrementally and slowly over time until you reach your goal results.

Jason Emer, MD · Answer

the lips are you showing are likely 3-4 syringes, plus you have a very different upper lip shape that will be harder to get a "key hole" pout like that.  Best, Dr. Emer.

Daniel Barrett, MD · Answer

Dear meowsers2018,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.Another Option: For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

The wonderful thing about filler is that you can go slowly and build up to the result you are wanting.  You will probably need more than 1ml split between top and bottom to get the desired result.  I encourage you to discuss your goals with your injector.

Shaun Patel, MD · Answer

I suspect you will likely need to build the lips up over time and you will need more then just another half syringe to the top and bottom. I don't believe additional Botox/Dysport for a lip flip would help much.

Results after 1ml Juvederm in upper lip only; will 1 more syringe be enough to achieve the aesthetic I want? (Photo)

Answers (5)