1ml of Juvederm Ultra Plus in my lips and now they look so big. What can I do to bring it down? (Photo)

Question

HI Doctors, I have done my lips yesterday afternoon i used 1ml of Juvederm Ultra Plus the top of my lip are massive, i look like a duck face - i know they are swollen and they still will go down. But what would happen if they dont, what can i do to take it away from the top.

Rupert Critchley, MD, MRCGP · Answer

Hi there!
Thank you for your question! Swelling is very normal so soon after treatment and should subside within 7-10 days. To help your symptoms you can use a cold compress to help reduce swelling. If you are still feeling concerned after this time period you should contact your practitioner for a review. If you are really unhappy with results, Juvederm can also be dissolved using hyalase injections.
Hope this helps!
Dr Rupert

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question. You do not need to be overly concerned. Fortunately, excessive swelling in your lips will likely subside within a few days. Cold compresses might help diminish the swelling. If you still are unhappy in a week, Hyaluronidase can be injected to dissolve the Juvederm. Good luck.

J. Jason Wendel, MD, FACS · Answer

Thank you for your
question.Bruising and swelling are common side effects after filler injections. It can take up to two weeks for complete swelling and bruising to subside. After that time, hyaluronidase is an injection that will break down the Juvederm, which is an option if you think your upper lip is to large. To be sure, see two
or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have
treatment.

I hope this helps.

Sugene Kim, MD, FACS · Answer

Hi Fey28, your lips look great! Lips tend to swell for about 5-7 days post injection, depending on the individual. Hopefully your injector let you know that beforehand. You should hold cold compress on the lips for the first 24 hours. If you have any concerns, I suggest you follow up with your injector. Have a great week.

William Marshall Guy, MD · Answer

Hello Fey28,As you know the lips can swell a lot after injection of filler.  This is because of their excellent blood supply.  To help minimize the swelling at this point avoid touching them.  You can consider a cold compress as well.  There are medications that can be prescribed such as steroids but the side effects are not worth it in my opinion for this temporary condition.  The swelling should come down in about 7-10 days.  If after that time it is a greater augmentation than you wanted or you still have duck lips then there is a material that can be injected that will dissolve everything that was injected.  I hope this helps and good luck.

Jerrold Gendler, MD, FRCS · Answer

Yes , you're swollen but that's normal in lips , maybe more than u expected but your injector should have given u a heads up , may even get more in next 2 wks , normal ! What to do now : ice 10 min /!3-4x day , elevate your head when lying down 30 degrees , Aleve gel caps , lip oils for lubricant , nothing drastic  , if it itches or gets redder than normal , than u may have something else going on , I don't think so , get in touch with your dr relax , your lower lip was larger than upper before & u might end up with a great result !

Richard Asarch, MD · Answer

Initial swelling is not uncommon and I would wait several days and then reevaluate the problem.  If the swelling persists and is creating an undesirable appearance, hyaluronidase can be injected to cause the Juvederm to be broken down and reabsored.

Richard Ort, MD · Answer

Applying ice to the injected area can help to reduce swelling.  Sometimes taking an anti-histamine such as Benadryl can help.  Occasionally I will prescribe a brief course of prednisone to reduce swelling after filler or laser procedures.  Swelling in the lips should also improve on its own over the course of a few days.  If the lips still look too big after a week or two, Juvederm can be dissolved by injecting a special medicine into the area.

Craig B. Boswell, MD · Answer

It is normal to have swelling that increases for the first couple of days and then starts to come down over the course of about two weeks.  If you have a significant amount of bruising, it may last even a little longer.  Cool compresses for the first 48 hours combined with keeping your head elevated can help the swelling to resolve sooner.  They will decrease in size from where you are now.  The final result after 1ml of Juvederm will probably be just fine in terms of volume.  Give the swelling a chance to go down (at least 2 weeks) and then assess the size and shape of your lips.  If you feel that the lips are too full at that point, then hyaluronidase can be injected into the lips to "melt" or break down the Juvederm.  You want to wait because some of the fullness is Juvederm, some is swelling (edema with the tissue), and some is bruising caused by the injections.  When all the swelling has resolved, you will be less full than you are now.

Estee Williams, MD · Answer

You can wait 2 weeks total, and then re-assess.  If the lips are still too full, the product can be reversed with a special enzyme which your injector will know about; a few injections of the enzyme will melt the filler.  Be well.

1ml of Juvederm Ultra Plus in my lips and now they look so big. What can I do to bring it down? (Photo)

Answers (12)

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