Will Fraxel 1540 help break up the remaining Juvederm causing unwanted volume on sides of mouth and above?

Unfortunately, laser treatments are not effective at breaking up or dissolving injectable fillers like Juvederm. Fractional lasers can help with wrinkles, fine lines, skin texture, skin quality, and pigment issues. Hyaluronidase will work to dissolve the product, but might not have been used in enough areas or enough times to completely remove the product. Be sure to see an expert physician who specializes in facial aesthetic procedures to let them evaluate your concerns and review options with you in detail.All the best,

No, this is unlikely to resolve your filler. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. It takes a series of treatments. See an expert. Best, Dr. Emer

No, Fraxel laser will not have any affect on fillers, however because Juvederm is a HA filler, and enzyme called Hylase can break up residual filler. 1-2 sessions needed. Bruising expected for a few days. Once dissolved, we can restart your lip rejuvenation process. Sounds like combination treatments with microneedling RF and fillers maybe your best solution. Wish you well, Dr Isobel Walker. Brisbane Fiori Institute. 

Lasers such as the Fraxel laser will not affect the Juvederm filler.  Please consult a cosmetic dermatologist or plastic surgeon who can effectively dissolve the Juvederm.