Do I have too much filler injected in my vermillion border? (Photo)

Question

I was injected with 1 syringe of Juvederm 4 days ago and I'm going on my 5th day. I had a lot of swelling the first two days and it seems to have gone down quite a bit today. I had minimal bruising. My top lip seems like there is too much filler on the vermillion border and it's sticking out really far and looks like a duck. Should I have this dissolved or wait the full two weeks? The other swelling seems to have gone down so I'm thinking this is too much product.

Jonathan Kulbersh, MD · Answer

It can take 1-2 weeks for final results. 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!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. Because of the thin nature of the lip tissues they are prone to swelling, especially if Juvederm Ultra Plus was used.  I know waiting is difficult but I would allow a full two weeks to pass before considering filler removal.  Best wishes.

Thomas Fiala, MD, FACS, FRCSC · Answer

Yes, the current lip size and shape at the moment is a little too much - but it may be swelling.  If it hasn't resolved in another week or so, consider getting it dissolved with hyaluronidase.

Sheryl D. Clark, MD, FAAD · Answer

Dear HelpMe44:I would allow a full two weeks for the swelling from Juvederm to subside. If you are still not happy, hyaluronidase will very quickly dissolve some of the filler.For your next treatment, if you desire less swelling and downtime, consider Belotero or Volbella.All the best,   Dr. Clark

Richard O. Gregory, MD · Answer

It is probably too early to evaluate the adequacy of the filler.I would suggest waiting the full two weeks. Too much filler is easily reversed. I particularly like the fact that the filler was placed along the border which is key to presenting a good anesthetic result.

Do I have too much filler injected in my vermillion border? (Photo)

Answers (9)