Juvederm Lip Injection Results Hardly Noticeable and Uneven After a Week

I would strongly recommend waiting patiently at least one more week for the full results to be seen. Usually, it takes between 2-3 weeks for the filler to settle in and give you the volume you are looking for. Your provider can always add additional syringe of Juviderm once you not happy with final results. You may experience after injection the feeling of unevenness or lumpy spots on your lips; in that case gently massage the area.

Hi Cat.  It's interesting how many patients on the realself site do not go back to their injectors immediately with issues like this.  We definitely recommend that you follow up with your injector and compare your before pictures to get a better gauge of what's happening.

Switching to Restylane is certainly an option, but we would not want to recommend that until you know more about the results.  In some cases, when not enough product has been used and the swelling subsides, patients are disappointed with the volume.  It's a delicate balancing act for injectors especially because too much swelling (using more product) can also make patients uncomfortable with their results (at least in the short term).

Your concern may be the result of not using enough filler.  Go back to your doctor and see about adding more if you feel that the lips are not full enough.

You ask two questions, the first being results are "hardly noticeable". One of the best tools to evaluate the true changes are to compare your before and after pictures. In my office we take your pictures prior to doing any injectable treatment. This is an objective way for you to compare if there is any question as to how much change or the quality of change in your lips. This will also show if you had any pre-existing unevenness or asymmetry which addresses your second issue of "uneveness". In that case a touch up will help even out the area.

And if you just want more volume, you can inject more Juvederm. Typically one syringe of Juvederm will produce noticeable change in the lip volume. Older patients who have lost more volume to aging often require more than one syringe.

Your concerns about it being hardly noticeable or uneven are not related to the use of Juvederm over Restylane. It is more related to how much product was used and how it was injected. Again, comparing befores and afters and consulting with your injector is the best way to proceed.

I hope you get your answers and the outcome you desire. If your doctor does not take pictures before treatments you may want to consider having future treatments with a Board Certified Plastic Surgeon. For a list of these providers you can visit www.surgery.org. Physician members are board certified in plastic surgery and specialize in cosmetic or aesthetic procedures.

The best course of action is to speak with the physician who performed your injection. Technically speaking, yes you can get Restylane injected even now. The question though is - Is Restylane injection the right thing to do at this point? It may be better to wait for additional swelling to resolve, massage the area to even things out, or consider additional Juvederm.