Is it possible to fix botched lip injections from Juvederm? (photos)

I got my lips done 2 weeks ago almost (on 11/17) with some type of juvederm. The swellings subsided except in the early morning, but my lips are totally misphapen and uneven and there are so many hard balls of product that feels gross and looks really lumpy and you can see them through my lips. I'm going back to the medspa Tuesday to ask for my money back (hopefully) and have emailed a plastic surgeon about fixing it. Is it possible to fix? I'm 23 and scared I ruined my face forever.

Doctor Answers 17

Hyaluronidase to Dissolve Juvederm

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Thank you for your question. The good news is that HA dermal fillers are not permanent. Since it has already been two weeks since your injections most of the swelling has resolved. If you are unhappy with your results you can have the filler dissolved with hyaluronidase. It can take 1-2 treatments to fully dissolve the filler. I recommend only having injections done with an expert to minimize the risks. Best of Luck! 

Summit Emergency Medicine Physician

Hyaluronidase to Dissolve Juvederm

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Thank you for sharing your question and photos. I am sorry to hear about your experience, but the good news is that hyaluronic acid fillers such as Juvederm and Restylane can easily be dissolved with an enzyme called hyaluronidase. After this enzyme is injected, the filler will dissipate within 24 hours. I recommend following up with your injector to discuss your concerns and exploring the possibility of dissolving the Juvederm. For future injections, I suggest seeing a board-certified specialist and starting with a more conservative amount of filler. In the meantime, rest assured that the Juvederm is not permanent and your results can mostly likely be completely reversed. Best of luck.

Kian Karimi, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 73 reviews

Hyaluronidase to the rescue--Reversing Juvederm

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This can be reversed with hyaluronidase and you can try a different technique next time. I recommend using cannulas with lip injections to avoid complications. I suggest getting a formal consultation with an expert in lip augmentation. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

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Juvederm injections into lips

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As you had the filler about 2 weeks ago, there could still be a small amount of swelling causing part of the distortion you see. However, the hard lumps of filler are likely just that - lumps of filler that haven't been distributed evenly. The good news is that since you had Juvederm, a hyaluronic acid filler, you can get those areas dissolved - with hyaluronidase and in addition, Juvederm is not a permanent filler so even if you didn't do anything about it, the lumps would eventually disappear as the product dissolves. I would recommend returning to your physician to have the product dissolved, at last partially, to resolved the asymmetry and bumps. You should be able to achieve a very beautiful outcome. Best of luck!

Lesley Rabach, MD
New York Facial Plastic Surgeon

How can I fix my lip augmentation?

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Hello killianmit,

Thank you for your question and photos. Good news your results are not permanent and can be remedied with the injection of hyaluronidase which will dissolve the filler placed and bring you back to square one. At this point you would essentially start over. It may be wise to consider another product of the juvederm family called Volbella that is less likely to cause the lumps and give a more smooth appearance. Also the amount of filler used will play a big role regarding these types of outcome. Remember the upper lip should not be the same size or larger than the lower lip when attempting to produce a more "natural" lip appearance. Be well. 

Paul Pietro, MD
Greenville Physician

Is it possible to fix botched lip injections from Juvederm?

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It what you wee injected with was actually Juvederm, then it can be dissolved using a specific enzyme called Hyaluronidase. The enzyme starts working immediately, so you should see improvement the same day. You may need more that one dose. 

Lawrence Bundrick, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 11 reviews

Multiple bumps after Juvederm to lips - dissolve it

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This is not a hard fix. Have the doctor inject hyaluronidase to dissolve this. It will take one or 2 treatments to fully dissolve. After waiting about a week, it can be re injected.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Is it possible to fix botched lip injections from Juvederm?

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Hello Killianmit,

The good news is that there should be no long term problems from your lip injections.  The results are not permanent.  Since it has already been two weeks most of your swelling would be gone.  So what you see now is close to what you would expect to have.  There is an enzyme that can be injected called hyaluronidase that will dissolve the product, assuming it was Juvederm or another HA filler that was injected.  Your case also highlights the importance of having your injections done by a physician in one of the core aesthetic fields (facial plastic surgery, plastic surgery, and dermatology).  This can help to minimize the risks of poor cosmetic results.  

I hope this helps and good luck.  

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews

Yes, it's fixable.

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If the product injected was indeed Juvederm, or one of its relatives in the HA family, the extra product that is lumpy can be dissolved with injections of the hyaluronidase enzyme.  That will get you back to baseline.

Then, your local PS or other talented injection specialist can start over, and help you get the lip shape you want.

Juvederm lumps in lips

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Assuming this was Juvederm and not some other product, it may improve some over the next week or 2.  If it doesn't, you can have the filler dissolved with some Hyaluronidase injections.  They work very quickly to remove the filler and will take you back to your baseline. 

In the future, make sure you go to an experienced injector and limit the amount of filler injected.   

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 31 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.