Why do my lips look uneven after Juvederm? (Photos)

Question

I got my lips done yesterday and they don't look even, you can totally tell with the line in between my upper and bottom lip. What can I do? If this didn't fix itself does my doctor has to make them even again? Are they going to charge me again?

Daniel Barrett, MD · Answer

Dear yeschairez,Juvederm has significant swelling post injection. I would follow up with you plastic surgeon but typically I tell all my patients to wait a full two weeks.  Generally at 2 weeks they are happy and glad they didn't dissolve.  Dissolving is unpredictable as well.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Jason Emer, MD · Answer

You can have swelling, which can be asymmetrical, for 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

Kouros Azar, MD · Answer

It is way too soon to judge your results. Your lips are swollen and will be for the next couple of weeks. Swelling is often asymmetric. For now, be patient. Hopefully, this will resolve to your liking.

Christopher Dannaker, DO, MPH, FAAD · Answer

Dear Yeschairez:
Immediately after the lip filler injection swelling is typical and can peak at about 3-4 hours.  Some swelling can persist for 1-2 weeks but should be less than that immediately after the injection.  Some questions remain, how much filler was injected?  More than 1cc?  (over 1cc will result in more pronounced augmentation as well as swelling).  Was the product really Juvederm and if so was it the appropriate product such as juvederm ultra or juvederm volubella?  Sometimes swelling, occasionally extreme,  is normal and should settle down in less than 24 hours generally, although accessing asymmetry should wait for several weeks to ensure all swelling and any bruising has fully resolved. If the lip remains significantly asymmetrical then some filler can be dissolved with hyaluronidase or filler added to the smaller side.  Make sure you see a board certified dermatologist, plastic surgeon or head and neck surgeon.  If their nurse performed the procedure and there is any problem, please call the physician as they will want to speak with you.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question.  It's not uncommon to experience swelling for up to two weeks after any filler injections.  At times, this swelling can be asymmetric and can make your filler appear uneven.  It is impossible to assess your results until your swelling has fully subsided. 
For now, I would recommend gently applying ice or cool compresses to the area to help the swelling resolve sooner.  Please follow-up with your doctor in 2 weeks if you have any concerns.  If necessary, Juvederm can be dissolved with hyaluronidase.  I hope this helps!

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  You are seeing lots of swelling and injection site reaction.  It typically takes 2 weeks after lip filler for everything to settle down.  If at that point you are still unhappy discuss with your board certified Derm/PS who injected you what your options are.  Regards, Dr. Matt Elias

Why do my lips look uneven after Juvederm? (Photos)

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