Juvederm injections have left me with an uneven smile and crooked lips. How do I fix a botched lip injection?

Question

Got Juvederm injections in Sep 2017. Waited approx 4 weeks after initial injection to have doc fix unevenness. Doc injected hyaluronidase and then more Juvederm a week later to fix. 6+ months later lips still not even, smile is crooked. I’m self conscious wearing lipstick or smiling in photos. Not sure how to fix. Doc refuses to completely dissolve says hyaluronidase is risky and I’m too picky - thinks lips are fine. Help! Suggestions for a fix are needed.

Michael A. Zadeh, MD, FACS · Answer

Hi Sara. Thanks for your questions and your pics which are a big help. I see what you are saying, and I'm sorry that your doc isn't doing much to remedy the situation. At this point I would recommend fully dissolving the filler with Hyaluronidase. This may take a few sessions, but I would want you back to your baseline and then start over to gradually get you to your goal lips. You may want to consider finding a more experienced physician injector this time. Hope this helps answer your question.

Harold J. Kaplan, MD · Answer

Hi Sara.  Yes, it does appear that you have more filler in the left side of the lower lip than anywhere else.  This is easily remedied with Hyaluronidase injections.  Although it's easy to inject Vitrase (Hyaluronidase), it's harder to get the exact amount to even the lips out completely.  Be prepared that if you decide to use Hyaluronidase that you may need to start your project over again.  Best of luck.

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

If you're unhappy with your results, the Juvederm can be reversed with hyaluronidase. It may take a series of treatments. Hope this helps.

Monika Soni, MD · Answer

Thank you for your question! There can be some swelling and/or bumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have it reversed with hyaluronidase and try a different technique next time. Best of luck!

Juvederm injections have left me with an uneven smile and crooked lips. How do I fix a botched lip injection?

Answers (9)

Answer: Unhappy with Juvederm--reverse with hyaluronidase

Answer: Unhappy with Juvederm--reverse with hyaluronidase

Answer: There can be some swelling and/or bumps after lip injections which can last 1-2 weeks.

Answer: There can be some swelling and/or bumps after lip injections which can last 1-2 weeks.

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Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.

Juvederm injections have left me with an uneven smile and crooked lips. How do I fix a botched lip injection?

Answers (9)

Answer: Unhappy with Juvederm--reverse with hyaluronidase

Answer: Unhappy with Juvederm--reverse with hyaluronidase

Answer: There can be some swelling and/or bumps after lip injections which can last 1-2 weeks.

Answer: There can be some swelling and/or bumps after lip injections which can last 1-2 weeks.

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.