Swelling or migration of juvederm? (Photos)

Hi Lilly and thanks for your question. I agree with the other docs here that your swelling is probably resolved and it seems that you have a bit too much filler in the vermillion border. This is relatively easy to correct via injection of an enzyme called hyaluronidase that dissolves any hyaluronic acid filler like Juvederm or Restylane. If the enzyme is injected in small amounts, it can reduce the filler instead of dissolving it completely. You will want to find an experienced injector who knows how to use hyaluronidase. Unfortunately, there is no shortcut for doing your research. Board certification is no guarantee of quality. Go by recommendations and ask to see examples of their work to make sure that your aesthetic is similar to theirs. Hope that helps!

Swelling typically resolves within 10-14 days; you were most likely treated with too much filler. This can be easily reversed with hyaluronidase. I suggest visiting a board certified dermatologist for treatment. Best, Dr. Emer

At two weeks post injection, most of the swelling is long gone. Even if there is a little bit of swelling left behind, your upper lip is clearly overfilled, especially at your vermilion border.

Make sure you find somebody experienced with the use of hyaluronidase to correct this issue.

To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.

Cameron Chesnut#realself500 Physician

Typically there is a 2 week settling period for lip fillers.  If you are concerned with your results you should schedule a follow up with your injector.

Hello, and thanks for your question.In my experience, swelling after lip augmentation tends to last 1-2 weeks, but I have rarely seen it last a little bit longer. At this point you are most likely seeing fullness from the filler itself. If you're truly unhappy with your result you could have the filler dissolved with injection of an enzyme called hyaluronidase. I therefore recommend that you follow up with the physician who performed your procedure. To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist. There are a number of us here in Santa Barbara.Hope this opinion is helpful to you. Best of luck, Dr. Frucht.