Does this look like counterfeit Juvederm? Two rounds of hyaluronidase has only given me more issues.

I have removed silicone from the lips of many patients over the years. It is a painstaking process.Sometimes it surfaces, sometimes it moves back down, sometimes it swells, sometimes it looks fine. Usually there are several rounds of surgery that are necessary because of this reason. It's not a fun process. The only thing I can say is that an in-person examine with a doctor who is very experienced with fillers and facial reconstruction is your best bet. At 20 months out, my assumption is that this is not Juvederm. It just doesn't last that long. It's also a more bluish translucent color when it's placed too shallow, and yours appears to be a white pocket of material. There are many great doctors in S. Florida. Look on this site to find some and have an in-person exam. "This answer has been solicited without seeing this patient and
cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a trained medical professional for appropriate care."