Can I Selectively Dissolve Juvederm from Philtrium?

I had my lips enhanced top and bottom with one syringe (1cc) of juvederm. It's been 5days and I am not to crazy about the philtrium that my injector convinced me was important to enhance. This is my first treatment with fillers and my primary concern is that the juvederm will stimulate collagen production in my philtrium and leave that as a more pronounced ridge. Should I wait it out or is it better that I find a new injector (I'm moving to a different state) to dissolve it? Please advise!

Doctor Answers 8

Juvederm is totally reversible

Thankfully, Juvederm is totally reversible with hyaluronidase injection, and only the philtrum may be reversed if you wish to keep the rest of your filler.

It may take a couple visits to completely reverse.

Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 204 reviews

Juvederm to lip area

Without viewing a picture of your lips before and after, it's difficult to answer this question. If you don't like the look and want it removed, be sure you visit a well-trained and experienced injector - dissolving product in that area has to be handled by an expert so as not to diffuse to areas you don't want it removed.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Dissolving juvederm from the philtrum

I would wait up to 2 weeks after your filler injection (as there can be swelling or bruising), and if still not pleased, then have your physician dissolve some of it with hyaluronidase which is incredibly safe in experienced hands.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon
4.8 out of 5 stars 53 reviews

Dissolve Juvederm easily


The great thing about any of the hyaluronic acid fillers is that if there is anything you want to reverse, you can simply inject an enzyme called hyaluronidase and it will quickly dissolve the product.  This is true for Juvederm, restylane, perlane, or any of the other hyaluronic acid fillers.  Injecting the philtrum can provide some upper lip definition and lift that you may like once it settles down soon.  

Laurie Jacobson, MD
Seattle Dermatologist
4.7 out of 5 stars 11 reviews

Disolving Juvederm

It seems your doctor was giving you the "Paris Lip". Some people like this look  for the lip and it is a personal preference. I would give it 2 weeks to let all the swelling and bruising resolve. If you still want it removed at that point your doctor can inject Hyaluronidase into it and it will disappear.

Esta Kronberg, MD
Houston Dermatologic Surgeon
4.9 out of 5 stars 30 reviews

Juvederm in philtrum

At 5 days after injection to the philtrum you may be experiencing a lot of swelling. Give it two weeks before considering dissolving the product.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Juvederm lips

Dear Santa Barbara,

-I think your injector was looking to give you "Paris Lips" which is not wrong, and just a preference

-I would let the swelling come down and re-evaluate after 2 weeks.  If you still do not like it, then have it dissolved.

-The collagen production is very minimal, if any, I would not worry about permanent ridges

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 74 reviews

Selectively dissolving Juvederm is possible

I am unsure why your philtirum was treated, but yes, you can selectively remove Juvederm with a good injector and hyaluronidase. However, I would suggest you wait a minimum of 2 weeks for all swelling and any bruising to subside. That will give you a better idea of what might need to be adjusted.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.