Too much filler or still swollen? 1ml juvederm. (photos)

Question

I had lip fillers Saturday today is Wednesday so it's day 4 I thought swelling would of gone now.. my lips are un even I have a M shaped lip (middle bit is not filler that's just unfortunately my lip) I feel really parinoid and don't want to leave house.. does anyone else think I look stupid? I am scared this is dramatic and won't go down :( I've seen my injector & she's been amazing following me up & said in 2 weeks I can have this reversed but she wants me to long it out for now.. I feel ducky

Chad C. Zatezalo, MD · Answer

Although you are likely overfilled, I would wait two weeks for all the swelling to go down in order to allow for a good evaluation.  This will allow the injector to know how much filler to dissolved. Good luck.

Monika Soni, MD · Answer

Thank you for your question. It is too early at 4-days post-treatment to determine what your final results will be as it takes up to 2 weeks for all swelling to resolve. You can apply cold compresses to your lips to help reduce any swelling and bruising. It is also advisable to avoid any NSAID’s such as ibuprofen as they tend to thin the blood and increase the risk of bruising and swelling. If you are unhappy with your final results you can have the filler dissolved with an enzyme known as hyaluronidase. I recommend having a follow in 2 weeks with your injector for an evaluation. Best of Luck!

Sean Doherty, MD, FACS · Answer

I know it's scary and frustrating to not look the way that you want immediately, but the lips are extremely sensitive and post injection swelling is always an issue. Your injector is right. Wait two weeks and then reassess. Best of luck.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question kate0791. I understand your concern. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. After a treatment swelling can last up to 2 weeks. At that point the final results are seen and more product can be added if further enhancement is desired or the product can be dissolved. I recommend that my patients apply cold compresses such as ice packs and sleep on an extra pillow if possible to reduce the swelling. Patience is important. Please consult with a doctor for specific recommendations. Good luck!

Jeanine B. Downie, MD · Answer

Hi Kate, your lips are definitely still swollen and bruised. It takes roughly 2 weeks for lips to calm down after Juvederm.  I do not think you should not remove prior to the 2 weeks and I agree with your injector.  Hang in there, Dr. Downie

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Please keep in mind that it will take 2 weeks to allow for normal postprocedure swelling and bruising to fully resolve and to see your final result.  At that point, please be sure to see your injector for an in-person reevaluation in order to determine the best course of action.  Any unwanted filler can be easily removed with Vitrase at that time.  Icing is beneficial for up to 48 hours after the treatment.  Arnica is also helpful for minimizing normal postprocedure swelling and bruising.  Hope this helps and best wishes!

Kiran Polavarapu, MD · Answer

Hello and thank you for your questions. It's difficult to assess your concerns without knowing what your lips looked like before and after the injections. It would also be helpful to have an exam (to palpate the area you are concerned about) and know exactly where the juvederm was injected. But yes, lips can swell and be swollen at just 4 days.Keep those follow-up appointments with the injector. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  Your injector is correct - the lips are a sensitive area, and are prone to swelling for up to two weeks after any filler injections, making it difficult to assess your final result.  However, I do have some concerns with the overall contour of your lips - the central upper lip appears to have been over-injected, while the sides of the upper lip were under-treated, resulting in an unnatural appearance.  I would recommend a second opinion from an experienced cosmetic dermatologist or plastic surgeon.  Best of luck.

Richard O. Gregory, MD · Answer

It is too soon to judge the result at 4 days.  You should follow the advice of your injector.  If you don't trust that person then get another opinion, but expect to pay for it.  Over injection can be reversed but again it is too early.  It appears that you may need a bit more filler lateral to the midline fullness, but give it a bit more time.  It should look natural and not over filled which I think is too often the case.

Steven F. Weiner, MD · Answer

It doesn't look like your lips are swollen at this point. I think they can be improved with more filler by an experienced injector. The middle of the top lip is too enhanced and doesn't look natural. Consider a 2nd opinion.

Too much filler or still swollen? 1ml juvederm. (photos)

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