Juvederm lip fillers over filled or swelling - help! Upper lip towers the top lip (Photo)

If you are unhappy you can reverse the filler, I would wait 2 weeks to decide if this is the best choice for you.  Best, Dr. Emer.

Thank you for the
photo. It has only been two days since your injections, so there’s still some
swelling that will need to dissipate before you can determine the actual
results. However, based on the photo I suspect that the proper proportions were
not met with this treatment, and the top lip is larger than it should be in
comparison to the bottom. Wait a few more days for the swelling to go down, and
then visit your plastic surgeon to determine a course of action if you’re still
not satisfied. You could have the filler dissolved to return your lips to their
normal size, or you could potentially add filler to the bottom lip to create a
better balance. A great deal of finesse and an artistic eye are required to
achieve nice results with fillers, so make sure you’re visiting a plastic
surgeon who’s highly experienced using dermal fillers.

Hello, and thanks for your question. I'm sorry you did not get the result you had hoped for. Post-filler swelling can take 1-2 weeks to fully subside, so it may be early to assess your final result. If you are not pleased with your final result, the product can be dissolved with injection of an enzyme called hyaluronidase.To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist or plastic surgeon. Hope this opinion is helpful to you. Best of luck, Dr. Frucht.

Dear Lucy,Thank you for writing in. I would wait for 1-2 weeks for the swelling to subside and then go for re-evaluation. The upper lips should be 1/3 and the lower lip should be 2/3 total volume. My hunch is that you will need Hylenex to dissolve some of the filler to get the correct ratio and take away the "duck" look. You have very pretty lips- my approach would be to put in much less filler-I'm guessing you had a full syringe or more. Maybe start with a 1/2 syringe next time.Best of luck!Dr. R.

Dear lucy0411:In your photos, your upper lip appears to be overfilled. To minimize your downtime, rather than waiting for two weeks I believe your physician will want to inject some hyaluronidase now in the upper lip to dissolve some, but not all of the filler. The reduction in size will be apparent almost immediately.In my experience, patients do not have to go through this kind of swelling, where one would not want to go to work or socialize for many days to two weeks, when having lip fillers.  Using fillers that swell less, such as Juvederm Ultra or Belotero, and minimizing trauma during the injections, as well as using smaller volumes with the understanding there is a possibility of adding more later, generally allow the patient to be back to their normal schedule quickly if not the same day. All the the best to you,Dr. Clark

It looks like overfill but the final effect will be seen in 2 weeks when all swelling resolves. At that time, you can choose to dissolve the product and start again.Typically, the lower lip should have 30% more volume than the upper lip. An experienced injector should give you the proper proportions for best cosmetic outcomes. Dr H Karamanoukian

Thank you for your question and photos. Lip swelling can last several days and is very common. I'd recommend ice in the am as swelling is worse then and you can take an antihistamine such as Claritin or Allegra. I agree that the degree of fullness may be more than you find aesthetically pleasing. In general the lower lip should be larger than the upper and the upper should protrude just slightly ahead of the lower. Once things have calmed down if your not happy go back to your doctor and you can always use Vitrase to remove product and improve your contour. Hang in there. Things may go down and everything look great in a couple of daysBest of LuckDrG