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

Thank you for your question. I would wait about 2 weeks and get re evaluated by your injector. The swelling and bruising can last up to 2 weeks so its best to wait for everything to settle first.  Be certain to be under the supervision of a board certified dermatologist or plastic surgeon with expertise in injectables for an evaluation and  for the safest and most effective treatments.   I hope this helps.

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.

Hard to say much about your result without the photos.  Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns.           

Thank you for your question. It is very common for the lips to look
over corrected or fake the next day. I often tell my patients that this
is the "oh my gosh" day. This is due to all the swelling
that ensues. It may last a few days with every day showing a decrease
in swelling. The more you ice the first day or two, the less swelling
you will have. I would wait a few days to a week and then return to
your injector if you still have concerns after that. If you like the
look of the lips at some point during the swelling reduction, then take a
picture. This way you know what volume you like in the lips for the
future.If your results remain asymmetric after a couple weeks, then you can consider hyaluronidase to dissolve some of the Juvederm.

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.

Injecting Dermal fillers is a skill and an Art.  It is possible that it was injected unevenly. So if there is more on one side than the other, this can be corrected. But you want to be sure the bruise and all the swelling is resolved before attempting further correction. Sometimes massage alone will correct it. Other times, it's adding a bit more to one area. As a last resort we can dissolve a lump of product or an "over" correction with Vitrase.  Again, it takes skill and a good eye to make sure you look even and natural; But a good injector should be able to accomplish this for you.   

Thank you for your question. It is common to have some swelling after fillers for lip augmentation which can take up to 2 weeks to resolve. You can apply cold compresses to the area to help reduce swelling and bruising. It is also advisable to avoid any NSAID’s before and after treatment as they tend to thin the blood and increase the risk of bruising and swelling. If you have any other concerns please contact your treating physician. Best of Luck!

either by time or by some mild doctor assistance...while it's generally a good idea to wait for minor corrections for at least two weeks till the swelling resolves and the tissue often gets more even but if there's a significant issue, like a lump, it's never too soon to see your doctor...if there's a bulge, it's possible to massage the area and help it resolve more quickly...hyaluronidase is an option but at just 4 days it's a bit early unless there's a major problem...make sure you see a reputable doctor with lots or experience with the lips...and one who uses legitimate products...

It is best to wait 2 weeks if things appear uneven. Very commonly, it is as simple as one side having more or deeper of a bruise, or binding more water than the other side, it usually settles down quite nicely. That said, if still uneven, hyaluronidase by an expert injector such as a dermatologist can dissolve any excess hyaluronic acid filler.

You are only 4 days so I would be patient.What you see and feel may be a little bleeding that occurred so massage and patience.