Lip filler causing lips to curl in? (Photo)

Question

I had Juvederm injected in my lips, and while the doctor was careful to place it properly, and it looked amazing for the first two weeks, it's now appearing to push my lip line down, causing my natural lip line to curl under. It makes my lips appear smaller, while the tissue above my lip is now fuller and thicker. The tissue above my lip doesn't feel like the product has migrated, it's just somehow thicker, and the product has almost travelled to the inside of my mouth. What happened here?

Harold J. Kaplan, MD · Answer

Hello,As other panel members recommended, having your injector meet with you to address your concerns is the best option.  However, based upon your good description and photo, it appears that the product may be causing too much heaviness which your upper lip is having trouble fighting against.  We've seen this in our practice before with patients that are over-filled for their own shape/size of upper lip.  This oftentimes causes a flat, rolled in appearance or an elongated/flat space from the base of the nose to the upper lip line.  In addition, you would benefit from more artistry of the mouth to create a better shape of the Cupid's bow.  This would also help bring better balance to the area of concern and fight the heaviness.  Alternatively, you may consider dissolving some of the product at the heavy points before re-shaping.  We do not believe you have any swelling that is causing this outcome this far out from your treatment.

Jason Emer, MD · Answer

This is difficult to answer without before and after pictures. 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

Payman Kosari, MD, FAAD · Answer

It certainly looks like the swelling is occurring above your lip line weighing down the upper lip and causing it to turn inward.  Fillers usually have the most swelling within the first two weeks and then it subsides.  One can also consider a delayed hypersensitivity to the filler causing the swelling.  The best approach at this point is close follow-up with your injection.  I would likely, start with a course of prednisone and reassess at that point.  In the worst case scenario, it needs to be dissolved and a different product used.  Best of luck!

Sean Doherty, MD, FACS · Answer

I am so sorry that you are experiencing this. Your best bet would be to visit your injector and be examined in person. I think you are probably going to have to have the filler dissolved but keep in mind that this take as much if not more skill than having it injected so you may want to get a second opinion from another board certified plastic surgeon in your area. Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question dianna11. I understand your concern. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. It is difficult to make an assessment without before photographs. However, being a hyaluronic acid product, Juvederm can be dissolved if the desired results are not achieved. Please consult with a doctor for specific recommendations. Good luck!

Lip filler causing lips to curl in? (Photo)

Answers (9)

Answer: Unhappy lip results

Answer: Unhappy lip results

Answer: Juvederm results

Answer: Juvederm results

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Lip filler causing lips to curl in? (Photo)

Answers (9)

Answer: Unhappy lip results

Answer: Unhappy lip results

Answer: Juvederm results

Answer: Juvederm results

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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.