Juvederm lip fillers bruised, uneven shape? (photo)

Hi susan_7, thank you for your question! Unfortunately, bruising is a common side effect of dermal fillers, no matter how skilled your doctor is. On average, 85% of patients report bruising after lip filler procedures, based on clinical studies done by Juvéderm and Restylane in the instructions for use. 
The five studies covered 719 patients and over 25 practitioners with fairly consistent results across products—Restylane, Restylane Silk and Juvéderm Volbella XC all had bruising rates over 80%. No matter how skilled your injector is, many bruise around the lips.
Topical arnica, bromelain and high-dose Vitamin K can help reduce bruising after the fact. Next time, it helps to address bruising beforehand: two weeks ahead of your appointment, start cutting out NSAIDs (aspirin and ibuprofen); herbal supplements, especially the Gs (garlic, ginseng and gingko biloba); alcohol; and green tea.
I recommend that you return to the physician who injected you 1-2 weeks after the treatment to evaluate if there is any asymmetry or accumulation of the product in your upper left lip. 

Thank you for your question. Swelling is a common side effect of lip injections and can last approx. 2 weeks. If you are concerned follow up with your injector to discuss your concerns. Best,

Asymetrical swelling/bruising is very common after filler, especially a few hours/couple days after being injected. Swelling/brusing can take sometimes up to 2 weeks to completely resolve. If after 2 weeks you feel it is uneven, I would suggest seeing your provider so she/he can correct it. 

After lip augmentation with Juvederm, the lips will swell for 1-3 days after the injection.  The swelling can be asymmetric and create an uneven appearance of the lips.  For this reason, I do not think you should judge the final results for 2 weeks after the injection.  

It is not uncommon to have bruising and swelling after Juvederm injections for the lips.  Wait 2 weeks to see your final result.  If you are not happy, please return to your injector for assessment.