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.

Injections of the lips always causes some amount of swelling and this often causes an uneven appearance. It's too soon to tell whether or not your result is aesthetically acceptable, due to this swelling. Give it at least 10-14 days before having anything done and try to just let it settle.

Swelling and bruising like this are common side effects after lip injections, especially within the first 24 to 48 hours, and they will subside. The lips take about 2 weeks to settle with the new product in them. Be patient with your results, because the rate at which people heal and recover varies. Knowing how to reduce bruising and swelling prior to your next injection may help avoid them altogether. You can minimize bruising by not consuming certain ingredients that cause bruising such as green tea, ginger, and over-the-counter supplements like Omega‑3 pills. Icing the lips immediately after injections and repeated sessions of icing on the lips for the first 24 hours can help relieve symptoms quicker. Elevated sleeping the first night is recommended to reduce any swelling in the face and lips.

 

You most definitely have swelling. At one day out, your unevenness could be entirely swelling. So, you need to wait at least 10 days until the swelling and bruising subside entirely before assessing your results. The lips tend to swell a lot, and also Juvederm pulls water to itself right after injecting, so it is impossible to tell your final result at this point in time. "This answer has been solicited without seeing this patient and cannot
be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."