Juvederm for Lips 3 Days Ago, Uneven Results

I had juvederm 3 days ago and one side appears fuller than the other. According to my husbad, they are crooked when i talk! When she was done injecting, I asked if she used the entire syringe and she said almost - but there was still a little left. Since my result appears uneven, do I have to go back and pay for another whole syringe? Could this just be swelling on the other side and even out? They are still bruised.

Doctor Answers 13

Uneven appearing Juvéderm

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Hi HMiller in Texas. There will always  be some swelling after injecting lips with Juvéderm. If there has been bruising, the swelling will be more accentuated where the bruise is located. It's too soon to tell if your lips will be uneven. The swelling and bruising need to resolve first, and that can take from a few days to possibly a week. If your lips appear uneven after the bruising is gone, return to the physician who did your injection and discuss it.

It may require a little touch-up if there is some irregularity. An experienced physician will be able to help you. Having placed Juvéderm in hundreds of lips, I can say that Juvéderm is a wonderful filler that is very soft and natural feeling in lips and is my preferred filler choice for lips.

San Antonio Dermatologic Surgeon
4.6 out of 5 stars 64 reviews

Uneven Juvederm in lips, 3 days post procedure

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Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns. 



Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Swelling Post Lip Injections...

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You definitely still have some swelling at 3 days post injections.  I would recommend following up with your provider at 1 week to discuss your options.  Every office has different policies with saving syringes (which is never recommended due to bacterial growth and contamination after opening) and touch up office visit fees. 

Good luck. 

Dr. Grant Stevens       

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Uneven 3 days after juvederm

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I would give it a week to let things settle down.  At this point, one might be chasing their tail if treating a false read on swelling.

As for the touch up, juvederm comes in a .4cc syringe which I use for touchups on my patients. My policy is to provide this as a free extension of the original visit.




Dr. Malouf

Peter J. Malouf, DO
Fort Worth Dermatologist
4.7 out of 5 stars 87 reviews

Lip Augmentation with Juvederm

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Hi HMiller. At the time of my answer, you are 8 days post injection. If you are still swollen, bruised, or uneven - it may need time to settle down. I like for patients to wait 2-3 weeks before being concerned, and then I always want them to come back if they are having persisent swelling or asymmetry.  It should be correctable if it is persistent by filling in the side that is less full. Because most skilled injectors are good at putting in even amounts of filler, the initial asymmetry almost always goes away.

Swelling from juvederm can take a week or more.

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The swelling from juvederm in the lips can take more than a week to resolve and given that it was only 3 days I would give it more time.  I would say that the lips appear to have had a nice result, but there is a little uneveness.

Give it at least a week and then go back to the injector to discuss options for evening out the result.

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon

Juvederm to the lips with swelling, uneveness

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In my opinion you are still early in your recovery. I would be patient but stay in close touch with your medical professional. Certainly most irregularities become negligible in time. We do have some off label applications of hyaluronidase that could correct any issues that persist after you heal a bit. Try to be patient. Best Regards, Dr Todd Hobgood

Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Uneven Lips After Juvederm

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I recommend you wait at least two weeks for all of the swelling to go down before the final critical evaluation. It is very easy to even out lips if there is any asymmetry and I never charge patients for the cost of a smaller "touch up" syringe. I believe patient satisfaction is always the number one priority. You should return to your injecting physician after the two week time period if there are any concerns. I believe most injecting physicians will agree that Juvederm is the preferred filler for lips.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Juvederm asymmetry

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It is not uncommon immediately after oneJuvederm session and injection to notice swelling and asymmetry. I would suggest that you wait two weeks and if still present discuss with your surgeon. You may need additional Juvederm. The same syringe is not used as it is not stored and once open should be discarded.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon


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When i do lip fillers, i always do what loos like a good conservative fill. Then i have the patient look in a mirrior and request any additional product in a specfic place. That way i avoid the uneven look. Let more time go by since you are still bruised and swollen.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.