I got Juvederm for lip fillers and I'm not satisfied, is this normal? (photos)

Question

I got 1 syringe of juvaderm. I wanted the sides of my top lip to be fuller. I didn't see any results. The Dr. told me to wait 2 wks. No result. She told me to come in for another syringe & charged me. Dr. told me " I couldn't get full lips " because I'm "fair skin " & it's hard to see results. I'm unhappy and feel I wasted my money. Dr.told me I'm not understanding how lip fillers work. The shot was a quick poke. Is this normal?

Aldo Guerra, MD · Answer

Hi Dreace.I'm sorry things did not work out for you with your injector and Juvederm. It happens that some fillers just will not give you the results you want. I would suggest trying a different filler next time and with a very experienced injector.I would suggest the Restylane family if injectors and Belotero.Best wishes, Dr. ALDO :)

Christopher V. Pelletiere, MD · Answer

It is true that the lateral parts of the upper lip are often the most problematic for patients.  So much is determined by your anatomy and while not describing it well, your injector (hopefully a board certified plastic surgeon) is not entirely wrong.  Fillers can do amazing things, but they help augment your existing tissues.  They cannot change your inherent anatomical features.  It is not a magic wand.   If your upper lip is very thin at the sides, no amount of filler is going to fully change that, regardless of what people will try and tell you.  They can be made better, but perhaps not as much as you would like.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry that your current results have not been what you anticipated. Though I disagree with your doctor's assertion that your lips can not get fuller, I would advocate additional placement of a thick hyaluronic acid filler such as Juvederm Ultra Plus.  This affords greater structure and volume for your lips. Seek an ASPS board certified plastic surgeon in consultation to discuss.

Robert Heck, MD, FACS · Answer

You may benefit from layering of more filler over time. For 2 vials I understand you may not be totally happy at this point but your lips may need time to keep expanding so if you trust your doctor keep the conversation open. For the sides of your lips they won't most likely achieve the fullness your natural lip has in the middle so perhaps thats the issue/explanation your physician is talking about. It might be your expectations not matching what is possible in 1-2 vials..... Best of Luck.

Onir Spiegel, DDS, PhD · Answer

Hi Ms. Illinoise,
Juvederm Ultra and Ultra plus work great in the lips for building up volume.  I'm not sure why you didn't get the results you where looking for.  I think your lips are beautiful.  But, there doesn't seem to be a big difference between the two pictures you posted.  Perhaps you had Juvederm Volbella done, which is very subtle and is mostly used for just slight definition around the lips rather then volume.  I hope this clarifies this for you. My video below should help explain.  Best, Dr. Onir

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your before and after photos.  I'm sorry to hear that you're not satisfied with the results of your Juvederm lip filler injections.  It's difficult to say without formally assessing you in-person, but based on your photos, I would agree that this isn't an impressive result after 2 syringes of Juvederm.  I would also say that your physician is mistaken - it is definitely possible to achieve fuller lips with filler injections in fairer skinned individuals.   I would recommend that you schedule a second opinion with an experienced cosmetic dermatologist or plastic surgeon to discuss your concerns.  If possible, please request your treatment records from your physician prior to your consultation.  Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question dreace21. I am sorry to hear about
your situation. Juvederm is a hyaluronic acid filler designed to enhance the appearance
of the face. It is important to communicate with your injector on exactly what kind of enhancement is desired. This is especially true in the lips as the product can be placed in different areas. Some people require more product than others and more can always be added. Please consult with a doctor for specific recommendations. Good luck!

Robert Whitfield, MD · Answer

Juvederm for lip augmentation in not difficult to perform and should have a much better result than you are showing.

I got Juvederm for lip fillers and I'm not satisfied, is this normal? (photos)

Answers (8)

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