Uneven lips one week after lip fillers. Is my right side going to settle more in the next weeks or is it badly injected? (photo)

Question

I got 1ml of lip fillers last week and my lips look uneven. No swelling or bruising. It seems like the right upper lip has filler, while the left side doesn’t. Is my right side going to settle more in the next weeks or is it badly injected? Can lip filler move from one side to another like this as it seems even right after the injection? Thanks!

Leslie Pickens, MD · Answer

It may take 2 weeks post injection to evaluate results due to swelling, fluid reabsorption in the product and tissue manipulation.  Juvederm, being hyaluronic acid, is malleable and removable.  An experienced injector may be able to massage the product or remove part of the product or inject more product to achieve a more symmetrical outcome.  Often with injections there is an initial injection and a secondary injection if you look at many of the filler product brochures.  Return to the same injector and discuss your concerns and compare your photos.  Good luck.

Monika Soni, MD · Answer

It may take 2 weeks post injection to evaluate results due to swelling, fluid reabsorption in the product and tissue manipulation.  Juvederm, being hyaluronic acid, is malleable and removable.  An experienced injector may be able to massage the product or remove part of the product or inject more product to achieve a more symmetrical outcome.  Often with injections there is an initial injection and a secondary injection if you look at many of the filler product brochures.  Return to the same injector and discuss your concerns and compare your photos.

Camille Cash, MD · Answer

Swelling is common after lip injections and can take up to two weeks to resolve.  For that reason it is recommended to wait a minimum of two weeks before judging results or adding additional filler.  Sometimes gentle massage of the area can help with swelling.  If after two weeks you still have concerns, return to your injector for an evaluation.

Leonard Tachmes, MD · Answer

Hi and welcome to our forum!
In our practice, we usually wait two weeks before considering reinjection as the swelling which occurs after injection may be asymmetric. Your early posttreatment photo appears more symmetric than your present appearance.
If the asymmetry persists for two weeks, I recommend reevaluation by your treating physician as you may require a touchup.
Best wishes...

Jyoti Gupta, MD · Answer

I usually tell my patients to wait for 2 weeks after the injection to let the swelling go down and you can then finally assess your results. It's unlikely that filler has moved from one side to another ( unless it was done intentionally by applying a good amount of pressure). Meet your injector if you are not satisfied after a week to discuss about the options (manual moulding, hyaluronidase to dissolve the right side or injecting more filler in left side)

Marek Kacki, MD · Answer

One week should be enough time for your lips to assume its final form. The unevenness on your photos is unlikely, in my opinion, to resolve spontaneously. You can definitely try to re-shape your lips manually. There is no magic in moving filler around and there is nothing you could do that can not be undone. Think of it as a sculpting project and try to mold your lips by squeezing the area using just your fingertips. You will notice it will take, and maintain, a significant pressure to move the product. If you are not successful, please ask your injector to address it. Stay natural! Good luck!

Atul Bembi, DO · Answer

Lip filler can take 2-4 weeks to completely settle and they should not move from one side to another. Right side may have mild swelling and applying cold pack will help. Give it another week and follow up with your physician and you may need to have more filler injected in the left upper lip.

Andy Shieh, DMD · Answer

You’ve only been healing for a week. Swelling may persist up to a month. Wait at least 2-3 weeks post then assess your final shape. Touch up may be needed and after 3 weeks will be OK for touch ups.

Leonard Grossman, MD · Answer

It will be best for you to give yourself another week or so and if the situation with the lips is the same, I would return to your treating physician and have them elevate the left side a bit more. Good luck from New York City

Diane Bowen, MD - Account Suspended · Answer

I would recommend you contact your injector and schedule a follow up appointment if it has been a week since your injection.  It is possible you will need additional filler on the left side to balance.
Best wishes

Uneven lips one week after lip fillers. Is my right side going to settle more in the next weeks or is it badly injected? (photo)

Answers (10)

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