Hi I got juvederm fillers in lips on Thursday, it's now Saturday. I am scared that this have been over filled and the bottom has not had enough in .... Very puffy and not defined at all. Very duck looking. So unhappy and unsure what to do. Is this normal . . Should I see a DR? Thanks Lucy
May 17, 2016
Answer: Overfilled lips 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.
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May 17, 2016
Answer: Overfilled lips 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.
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May 16, 2016
Answer: #DuckLips? 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
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May 16, 2016
Answer: #DuckLips? 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
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