While I agree with your doctor regarding waiting a full week or two for any residual swelling to subside (before chasing the filler with the "antidote" - hyaluronidase injections), it doesn't appear from the outside as if you have any significant bruising. If you pull your lip up and look at it in the mirror and there is a bruise under the left upper lip, you can take a deep breath and know that the swelling associated with a bruise will subside on it's own over the next week or so.
Also, I always massage the areas that I inject immediately after I inject them to prevent a "lumpy" look. It will only take a few drops of hyaluronidase to fix that (assuming it's not residual swelling). One thing I do notice is that your "cupid's bow" portion of your upper lip looks like it has been flattened by the filler and your upper lip appears larger than your lower lip. All of this can be easily fixed. . . just make sure to choose an experienced injector.
Hope this helps!
Hello, and thanks for your question. I'm sorry you did not get the result you had hoped for.
I agree that there is asymmetry to your upper lip. Post-filler swelling can take 1-2 weeks to fully subside, so it may be early to assess your final result. If you are not pleased with your final result, the product can be dissolved with injection of an enzyme called hyaluronidase.
To maximize the likelihood of a favorable outcome, I recommend that you only get treated by a well-trained and experienced dermatologist or plastic surgeon.
Hope this opinion is helpful to you. Best of luck, Dr. Frucht.
Uneven Lips After Juvederm
You definitely have asymmetry to your upper lip. Some of it may be swelling, which can take up to 2 weeks to resolve. From what you describe, I don't think it will resolve and you will likely need the filler dissolved with Hyaluronidase. Also, your top lip is larger than your bottom one and this will need to be addressed for an anatomically pleasing result. Find an experienced injector if you're not comfortable with the one you have now. Best wishes.
There is some asymmetry on your left upper lip. Juvaderm can cause an inflammatory response for 2-3 days. However, you likely are past this early swelling and have uneven distribution of filler. You should return to your injector, or find another expert injector (plastic surgeon or dermatologist), for some reversal agent to reduce the left side in hopes of gaining symmetry.
After 5 days, still lip not even
My guess is the lips don't even out. I almost never inject the upper lip alone. The ratio is now not normal. It should be 1:1.61, upper to lower lip. I don't think the provider is an experienced injector. This most likely will need hyaluronidase for you to be happy.
Juvederm and Lips and Uneven results
It appears that your lips are uneven from the injections. You can try massaging the lump and if it is not even in two weeks you should return for correction. Please consult an expert for the best cosmetic results. Best, Dr. Green
Based on your description of your results, it seems the product may have gathered on your left lip, this is possibly due to injector error. Thankfully juvederm can be dissolved by an MD or experienced injector. Try massaging the area and apply ice to reduce swelling. If the lump is still present after 2 weeks, consult with a plastic surgeon.
Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase
If you are unhappy after 2 weeks you can reverse the filler and have it reinjected or touch up what is needed. I suggest you see an expert. Best, Dr. Emer.
Swelling/Bruising/Lumpiness (early) from Fillers
I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done
with a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary if the bump is from the filler material
itself. Get Arnica gel if you can find some and apply a few times a day as well
to help treat any swelling. Avoid any blood thinners. Bruising can also last
1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks
until the swelling has resolved. If it is persistent or you are worried, set up
a follow up appointment with your dermatologist.
You are uneven at this point. If it is firm, you are either feeling the product or might have a hematoma in the lip. If it is the latter, this will go away and the lips will appear more even. Try some gentle massage to smooth it out. If at 2 weeks they are still uneven you may need to either add more to the right or dissolve the left.