Swelling or fish lips? 2 syringes of Juvederm done 4 days ago. Did a syringe a month apart. (photos)

Question

Im hoping the sides of my bottom lip are just swollen and not overfilled. They are still hard and i know it needs time. But is it possible they will go down more? They look great when i smile but at rest i feel like fish lips.

Jonathan Kulbersh, MD · Answer

Yes, swelling can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Steven J. Pearlman, MD, FACS · Answer

If you need two syringes of filler to make your lips more visible, you may benefit from more than fillers. It appears that you have a long distance from the bottom of your nose to your upper lip. Adding more and more fillers creates the "fish" look. You might consider a lip lift operation. This procedure removes a strip of skin under the nose that raises the upper lip and turns it outward making it appear larger but not protruding excessively.

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. You have swelling, which can be asymmetrical, and last 1-2 weeks after lip injections. 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

Monika Soni, MD · Answer

It's too soon to tell what your final results will be. You have swelling, which can be asymmetrical, and last 1-2 weeks after lip injections. 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.

Brian A. Pinsky, MD, FACS · Answer

In general, there is a fine line between  good result and overfilling in the lips.  The lips will often swell for several days after injections.  Typically, the edema resolves in 3-4 days but may take up to 2 weeks.  I recommend waiting at least 2 weeks before considering additional intervention.  You may decide to have the product dissolved if you aren't happy at that time.  I suggest seeing an experienced board certified plastic surgeon to discuss your options. Best of luck!

Vilma Di Maria, MBBS · Answer

Thankyou for your question.Lip fillers can take a full 2 weeks to settle. If the lip hasn't gone down by then you will need to see your injector and get some of it dissolved.Good luck.

Michele S. Green, MD · Answer

Juvederm is a great injection for lip fillers.  However, it appears that you had too much filler in the lips.  It might be swelling and I would  wait another week to see if this is the case.  If not, you should have some of it dissolved with Hyaluronidase.  Please consult an expert in lip fillers for the best cosmetic results.  Best, Dr. Green

Esta Kronberg, MD · Answer

It is too soon to tell. You need to be patient and give it 2 weeks to tell. It can be erased with hyaluronidase. . The swelling can take 2 weeks to subside.After the 2 weeks see your injector if you are not satisfied.

Leonard Grossman, MD · Answer

Being patient is key here. It may take up to 2 weeks for the swelling to fully go down. Good luck from New York City

Yale M. Kadesky, MD · Answer

The good news>>>> the lower lip will come down as edema resolves and the hyaluronic acid is metabolized. The big question is... how long will it take. The upper lip still looks thin. Injecting Juvederm into the upper lip might help balance the thicker lower lip, making it look thinner by comparison. If still problematic in a few weeks, hyaluronidase injections work well to dissolve the Juvederm.

Swelling or fish lips? 2 syringes of Juvederm done 4 days ago. Did a syringe a month apart. (photos)

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