Deep creasing on the side of my lips when I smile after lip filler. Any suggestions? (photos)

I have creases on the side of my mouth when I smile, it's been over24 hours since have Juvederm ultra injections how long will this be there or will I have this throughout the 5-6 months

Doctor Answers 10

Smile lines

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Hi Lee,

I would wait to see what happens a few weeks after your injection.   These lines may go away if you've never had them before.   But, look up Restylane Defyne.  It's the perfect product for the deep line you are pointing to.   Best regards!

Wait 2 weeks

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Wait for a couple more weeks until the swelling from your lip augmentation subsides. Then, if this crease is still bothering you, go see your surgeon. It is not from your lip filler. Best, Dr. Nazarian

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 56 reviews

Deep Crease on Side Of Lip

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This is a muscle called the modiolus and is your natural fold... it is not from the lip filer unless filler was placed there directly and is causing swelling.  I suggest a formal consultaiton with a facial rejuvenation expert.  Best, Dr. Emer.

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

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Juvederm and swelling and lines

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The full results from Juvederm typically will be seen after two weeks since you can have swelling that distorts the appearance. If after two weeks you still see the creases, you should return to your treating physician for examination.  Best, Dr. Green

Just wait a few days

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  • The day after Juvederm injection is usually the one that exhibits the most swelling.  This swelling can distort some features and cause some temporary wrinkles.  Just wait a few days and see if it gets better.  If it doesn't, I would go back and see the doctor who performed the injection.

Creases after filler

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Thank you for your question.  Please wait at least 10-14 days for any swelling to subside, if the creases are still there at that time please follow up with your physician for proper evaluation and management.  Regards, Dr. Matt Elias

Matthew Elias, DO, FAAD
Fort Lauderdale Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

Lip augmentation

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It may be related to swelling. Give it a few more days. If it doesn't get better, then go back to your injector.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Juvederm and Swelling

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Given that the injections were just performed, I would give it several more days (even up to 2 weeks) for the swelling to subside prior to evaluating your final result.  In the meantime, if you continue to have concerns, I would follow up with your injector.  Best of luck to you!

Lines when smiling after lip filler

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Hi there,

I recommend you see the doctor who performed the injection. It is early on after the injection and I expect it would improve as the swelling goes down. Usually the day after the lip injection is the day with the most swelling. 

For day 2, your lip volume is looking good! 

hope this helps

Myriam Loyo, MD
Portland Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

Deep creasing on the side of my lips when I smile after lip filler. Any suggestions?

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Best t return to see the injecting doctor. Plus allow at least 10 days for swelling to subside............

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.