One side of my lip is larger after getting Juverderm Plus. Is this normal? (Photo)

Question

It's only been about a day, I got juverderm plus into my lips and love them but one side on my top lip is bigger and I know we are suppose to wait about 5 days for swelling and bruising but I feel like it just has more filler. It is a little more tender on the bigger side and it's a little lumpy. She told me to ice and massage if I feel any lumps but not to over do it. Do I just need to wait it out or did she just not do a good job?

Camille Cash, MD · Answer

Swelling and bruising are common after lip injections and can persist up to two weeks.  It is too early at this point to judge the results.  The use of ice and gentle massage may be beneficial to help smooth the lips.  If after two weeks you still are concerned, return to the injector for an evaluation.

Jason Emer, MD · Answer

There can be some swelling and/or lumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer

Michael A. Zadeh, MD, FACS · Answer

A great deal of expertise is needed when injecting the lips, even more so when you are using a bulky filler such as Juvederm Ultra Plus. If it is not injected properly you will be left with lumps and asymmetries. That being said, it is still very early after your injections. Swelling and bruising is common and may create an uneven appearance. The swelling can take up to 2 weeks to resolve. I suggest waiting. If you are still not happy after 2 weeks then the filler can be dissolved with Hyaluronidase. Make sure you are under the care of an experienced injector. Best wishes.

Kouros Azar, MD · Answer

Asymmetrical swelling isn't unusual. For now, just ice the lips and try a gentle massage. After a couple of weeks, the swelling should subside and you can judge your final results. If the asymmetry is still present, make an appointment with your injector to discuss.

Peterson Pierre, MD · Answer

Thank you for providing the photos. It does appear that one side is 
fuller than the other. I would ice the lip 3 times a day for 2-3 minutes
 at a time to address any residual swelling. I would also gently massage
 the area every time you ice. If the disparity persists after 1-2 weeks,
 return for an adjustment.
As with all cosmetic procedures, 
especially when it comes to fillers, the skill of the injector is 
paramount. Always seek an expert in facial aesthetics, such as a 
board-certified dermatologist, to maximize results while minimizing side
 effects.

One side of my lip is larger after getting Juverderm Plus. Is this normal? (Photo)

Answers (7)