One Side of Lip Larger Than the Other After Juvederm. Is This Normal?

Four days is a little too early to see the final result particularly if you experienced bad bruising.  I recommend giving it a full two weeks after your procedure before deciding either way.  At his point I would recommend to continue to wait for any residual swelling to abate itself.  Using hyaluronidase is a “shotgun” approach and it would dissolve most if not all the Juvederm.  A much more precise technique which may be employed by your doctor is to make a very small ‘knick’ with a needle and express out some of the product to help even out the two sides.

A small hematoma on the bruised side may be the cause for uneven lips. Eat fresh pineapple and wait a week or two if possible. Hyaluronidase will dissolve all the Juvederm quickly.

In the future, bruising can be minimized with stopping aspirin and ibuprofen at least 10 days prior, eating fresh pineapple, applying ice, and using blunt cannulas. Fish oils and some herbal remedies increase bruising too.

When you are being injected, ask for a mirror and check your appearance before the syringe is empty. Asymmetries of the teeth can make the lip appear asymmetric.