Juvederm Lip Filler: Do I need to have the filler dissolved? (Photos)

Question

I had Juvederm in my lips and I am unhappy with the results. My goal was for the outer corners of my lips to be more turned outward. Also, I feel as though there is filler above my upper lip and out to the sides from the corners of my mouth. My provider ensures me that they did not inject there so there could not be filler there. I've had 3 syringes injected and feel like that it should not have taken that much product. Is this poor technique? Do I need to have the filler dissolved?

Fernando Ovalle Jr., MD · Answer

Hello, in my opinion if you are unhappy with the fillers then you should seek to get it dissolved. It is hard to discuss the technique used as we were not witness to it and we don't see "before" photos to compare to and every patient's case is unique; however, I would consider 3ml's of HA to be a large amount of product to place in the lips, especially just the upper lip, if that was the case in you. If you don't feel you are getting the communication or support you need from your current injector, I would recommend seeking a second opinion from a board certified plastic surgeon or dermatologist.

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have the filler dissolved with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! It is possible to have filler migration. The corners of the lip can be difficult to flip out while avoid a "ducky" look. Three syringes to the lips is quite a bit of filler assuming you had 1 cc vials, unless your lips were very small to begin with. The options would include small amounts of hyaluronidase to dissolve some. Or, to wait to see if further refinement occurs. Hope this helps you!

Camille Cash, MD · Answer

Based on your photos it does appear too much filler was used and placement was an issue.  It may be best to have the filler dissolved.  I encourage you to go slowly with filler to build up to a look you are wanting.  Always see an experienced injector for treatment.

Nelson Lee Novick, MD · Answer

The simple answer to the question of whether HA filler should be dissolved is whether or not the result of the treatment is desirable. Clearly, when too much has been given and/or inappropriate placement has caused unwanted enlargement in conspicuous areas, hyaluronidase dissolution is reasonable to consider. In my experience of well over three decades injecting these kinds of fillers, approximately one syringe is usually more than adequate to straighten downturned angles of the mouth.  You would be wise to make sure to consult a board certified cosmetic dermatologist injector. Best of luck.

Juvederm Lip Filler: Do I need to have the filler dissolved? (Photos)

Answers (5)