Can Juvederm Leak After a Month?

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.

Depending on the depth and width of the skin wound overlying the injected Juvederm and the amount of compression applied theoretically the Juvederm could be pushed out. I have yet to see this happen.

You may want to consult the doctor who injected you.

Peter A Aldea, MD

It is highly unlikely that your Juvederm will leak after trauma.  It can be extracted through an incision in the injected area, but leakage from a small puncture wound would be unlikely after trauma. 

If there is a puncture down to the juvederm, it is possible to see a drop of the Juvederm. You will not leak it out completely

I'm sorry to hear you were hit in the mouth. The good news is that this will not cause the juvederm to leak. I hope you were able to get proper attention for the wound to minimize the risk of a scar on your lip.

You didn't mention if the puncture wound is on the outside (skin) or inside (mucous membrane facing the teeth). If  it is outside, you may lose a little more than if it is inside, because Juvederm is often injected just under the skin.

In any case, it is unlikely that you have lost much, if indeed you only have a puncture wound.

If you have a laceration (a tear), you may   lose only  slightly  more, because the Juvederfm, after injection, is massaged into a wide area.

But if you have a laceration (tear), the main concern would be an infection, so make sure that you contact the Dr who injected the Juvederm, for an examination of the wound.