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Juvederm is highly unlikely to "leak" following a lip injury. Juvederm is a clear gel. It tends to stay in place following injection. I have never seen Juvederm or any other hyaluronic acid filler product leak following an injury of any variety. If it were to leak you would see a clear gel like substance. If you have any concerns, please return to your injector to be evaluated. Best,Stephen Weber MD, FACS
Juvaderm is a hyaluronic acid filler and becomes incorporated into the surrounding tissue several weeks after it is injected. Yes, it is true that it can be extracted a month later, but this would need to be done with an incision and is very difficult to extract the material. So, a trauma with a lacderation to the area a month after injection will be unlikely to cause your juvaderm to leak out. If it did leak, you will see a clear, thick material, but again this would be very very rare.
Not to worry, a small wound cannot cause the products to leak. After 2 weeks the filler has attached itself to surrounding tissues and will generally not move.
Juvederm should not be able to leak out a month after injection eventhough you may have a small puncture site.
unless it is very superficial in the skin, and a puncture wound is made directly over it. Some patients have a blue discoloration on the skin from Juvederm being placed too superficially. That can be easily removed in your dermatologist's office with a simple puncture and extraction technique. Typically if you have fillers in the lips or around the mouth, the material will not move even after injury. Best to you.