Hello, and thank you for reaching out to us. This may be due to the 'wearing off' of the treatment. On occasion a filler may heal unevenly. So it may be time to augment subtly. My recommendation is that you find an ASPS board certified surgeon and discuss your long term treatment and touchup plan. There are fat-to-lips options that may last longer - but it all begins with a disscussion with your surgeon/expert injector.
Good luck, please let us know how it goes.
-Dr. Constantino Mendieta
Thank you for your question and for sharing your photographs. Sorry to hear that you are having some some concerns about the appearance of your lips. Based on your photographs, I would suggest a conservative lip augmentation with a small amount of Juvederm. Please be sure to see an expert injector for an in-person consultation to fully address your concerns and discuss your goals and expectations in order to determine the best course of action. Best wishes!
It may be that you're seeing shadowing, not lip discoloration, as the Juvederm has worn off and your lips are not as plump. Before and after photos are always useful as they are good reminders of where you started. Sometimes it's easy to forget how things looked before we had a treatment! Shadowing comes from differences in contour (hills and valleys). An area that was once plump (a hill) that is now deflated (a valley) will have shadowing/a dark color in the area. Placing more product may correct the problem.
Thank you for your question and photographs. Juvederm is a temporary filler and its results may last on average 3-6 months in the lips. Once the body metabolizes it slowly the volume of your lips will drop and you may want a touch up to maintain your appearance. Blanching with Juvederm takes place if it is too close to the skin but this resolves as the juvederm is slowly absorbed. Hope this helps.
Hypopigmentation of the lip post injection may be caused by the filler being superficially placed. This can be improved by reversal with hyaluronidase or massage. Because you are one year post injection, it is unlikely that the lack of Juvederm is causing a discoloration. I suggest to consult with an experienced dermatologist. The lip can be augmented with more product. Best, Dr. Emer
It is hard to assess the discoloration based on the photos you have provided. I would recommend discussing your case with a reputable injector. Juvederm usually last 3-9 months in the lips. If you are getting 1 year out of the injection, good for you! I have not see lip discoloration related to Juvederm injection, not atleast so far out after the injection.