Will my duck lips go down after Juvederm fillers? (Photo)

Question

I had 1ml of juvaderm fillers mainly in my top lip. But now my top lip hangs way over my bottom lip. I know it has only been 24 hours but I do not think th fillers suit my lips. Should I get them dissolved or will this go down and look normal. Advice please

Michael A. Persky, MD · Answer

Hi Mirror,Physicians who create "Duck Lips" give a whole new meaning to the term "quack."  Your question illustrates the importance of choosing your aesthetic injecting physician most carefully based on their skill, experience, and most importantly their natural artistic vision.  1 cc of Juvederm is a large amount for only the upper lip.  You should wait a week and if it is still ducky then have it dissolved.  Good luck and be well.Dr. P

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question.It is best to wait two weeks before deciding to use hyaluronidase to break down the filler. Swelling and bruising are comment side effects and can take up to two weeks to subside. It is best to have a follow up appointment with your provider who performed your injections. To be sure what is best for you, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
treatment.

I hope this helps.

Jason Emer, MD · Answer

It is common to get swelling after fillers into the lips.  It is not normal to have irregularities or severe swelling.  If you are unhappy you should speak to your physician and have the area injected with hyaluronidase, an enzyme that reverses the hyaluronic acid filler.  For the next injections, consider Restylane Silk with cannula injection, this technique will limit the pain, swelling or bruising after the filler placement.  It often takes up to two weeks for swelling to subside on its own.  Find an expert in filler injections for your future treatments.  Best, Dr. Emer

John L. Burns Jr., MD · Answer

At 24 hours your lips will still be very swollen.  It may take a week for the swelling to resolve.  This should improve dramatically at 72 hours.  You can elevate your head when sleeping and use cold compresses to help.

Sugene Kim, MD, FACS · Answer

Hi mirror123Thank you for your question and photos.  We tell most patients to wait at least two weeks until all swelling has subsided.  If you are still unhappy with your injections then i would go back and consult with your injector.  You might need to add more in the bottom to make them more proportionate.  Your injector will be able to decide what you need.  There is also a reversal called hyaluronidase to break down the product.  Best of luck to you!

Craig B. Boswell, MD · Answer

I would also recommend giving it two weeks prior to deciding whether to add more filler or to dissolve the filler that is in place.  Lips can have a significant amount of swelling in the first 24 hours and it can take several days to see improvement in that swelling.  Sometimes a blood vessel can be hit with the needle which can cause a disproportionate amount of swelling in the upper (or lower) lip.  I'm guessing that you looked at your lips immediately after the injection and that's a good indication of what they will look like once the swelling has resolved.  If you liked them immediately after the injection (and the upper lip didn't look too ducky), then you will probably be happy with the end result.  If they looked too ducky right after the injection, then it's more likely that they will stay that way.  In general, 1cc of Juvederm is usually about right for the lips, but it does depend on how much was placed in the upper vs lower lip.  Please call your injector and schedule a follow up appointment.

F. True Lansden, MD · Answer

Swelling of the lips after injection of dermal fillers is a common occurrence. While it usually resolves in 24-36 hours, I have seen some patients swelling persist for up to five days. Ice packs and massage may help with the swelling and help to evenly distribute the material. Herbal remedies, such as Arnica Montana, may be helpful in reducing swelling and bruising. If swelling persists for more than a week, or if you develop redness or pain in the lips consult with your plastic surgeon.

Stephen Weber MD, FACS · Answer

I agree with you that, right now, your upper lip is way too full. However, it's only been 24 hours and you are likely very swollen. You should see improvement in the next 3-5 days. But if your lip remains excessively full some of that filler will need to be removed with hyaluronidase and possibly a small amount of filler placed in your bottom lip for balance. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Gail Nield, MD, FRCPC · Answer

Hello. It has only been 24 hours and hopefully, the size of your upper lip is due to swelling from the injections and not from being overfilled. I would wait 2 full weeks before you can see the final results. Some patients experience an excessive edematous response to lip injections. I would suggest you return to the physician who did the injections and ask for further help and advice.

Steven F. Weiner, MD · Answer

The injector doesn't understand the anatomy of the lips. The upper lip is too big and projected. Please see the attached link for correct proportions of the perfect lips.

Will my duck lips go down after Juvederm fillers? (Photo)

Answers (13)

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