These indentations in my lips. Are they caused from the lack of Juvederm or my teeth pushing forward? (Photo)

Question

I noticed today my lips hurting a little bit. I checked& I noticed these indentions on the sides of my bottom lips. It looks like my teeth are pushing forward and pressing against them or maybe I'm quenching/grinding my teeth unconsciously. If you look when I smile there's waves in the bottom lip. I haven't had Juvederm injected since March/Aprilish & I'm concerned. Do I need more Juvederm? Or my teeth need to be realigned? I'm very self conscious now. I'm concerned please help :(

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  It is difficult without an in-person examination to offer definite advice but as the indentations are most readily seen when you are smiling it may be your dentition that is causing the issue.  I would see your injector for an evaluation to discuss additional filler placement or a referral to a dentist.  Best wishes.

Yannis Alexandrides, MD, FACS · Answer

It's difficult to assess whether this indentation is caused by your teeth without seeing you for an in-person examination. However, from looking at the photos it appears as though the placement of your teeth is exacerbating the lumps on either side of the lower lip when you smile. These lumps can occur when too much of the substance is placed in one area. I would recommend either waiting for the filler to dissolve naturally, or have it dissolved using hyaluronidase.

Monika Soni, MD · Answer

Thank you for your question. As you do see this when you
are smiling it can be caused by your dentition. You can have this corrected
with more filler placement. I recommend seeing your injector for in person
evaluation.

Hardik Soni, MD · Answer

Thank you for your question. As you do see this when you
are smiling it can be caused by your dentition. You can have this corrected
with more filler placement. I recommend seeing your injector for in person
evaluation.

Camille Cash, MD · Answer

It appears from your photos that your teeth are causing the indentions that concern you.  You can return to your injector for more filler in  those areas, but you may also need to visit with your dentist if the issue persists.

Darryl J. Blinski, MD · Answer

The filler is starting to dissolve away after 6 months, which is usually. Most Ha fillers ONLY last 4 to 6 months! Appears you were overfilled either by request or by injecting MD decision? Best to return to see an injecting MD fr more filler if you like the very full lips....

Steven F. Weiner, MD · Answer

I think the teeth did cause this. It can be corrected with more filler in this area. I would touch up all areas because it is getting to be at the limit of duration of original Juvederm's duration.

Michele S. Green, MD · Answer

It appears from the photo that it may be your dentition that is responsible for this appearance.  Please consult with a board certified dermatologist who is an expert at these fillers.  Best, Dr. Green

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These indentations in my lips. Are they caused from the lack of Juvederm or my teeth pushing forward? (Photo)

Answers (8)

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