What to Do for Lips That Are Uneven from Juvederm?

My lips are uneven, and my doc says hyaluronidase will cause more swelling. Help! Last January's Juvederm syringe has make my lips uneven. I went to my doc for help, and he added botox to lift the lip. There are nodules on my left upper and lower lip creating significant asymmetry. He attributed it to selling from botox 10 days ago. He doesn't think hyaluronidase will work because it will swell for a couple weeks. He advised I just let the Juvederm I've had every 6 months for 2.5 years go down to even them out. I don't want uneven lips or ad more Juvederm. Suggestions?

Doctor Answers 3

Hyaluronidase Helps to Even Lips After Juvederm


Hyaluronidase should help.  In my experience any additional swelling from hyaluronidase is very temporary (hours), and the effects of decreasing Juvederm can be appreciated within 24 hours.  As with everything, experience counts.  Good luck and be well.

Dr. P

Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Dissolving juvederm

If you have lumps from your juvederm, you can dissolve it with hyaluronidase.  Yes there may be swelling but in  my experience it is very temporary.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Asymmetric lips after Juvederm

If it is going to take as long as you were told to have the Juvederm dissolve (which is not the norm) than the swelling from the hyaluronidase should not be a reason to avoid doing it and it may give you the result you are seeking. Hyaluronidase is not a specific treatment and may not affect enough or may affect the adjacent filler as well. Some physicians are reluctant to use it for this reason, and there is a risk of allergic reaction, especially if you are allergic to bee stings.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 38 reviews

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