I am a 58 year old with genetically thin lips and "smoker's lines" around my mouth even though I never smoked. I had Jevederm injections (2 syringes)in both the lips and wrinkle folds as well as a small amount of Botox in the muscle area above my lip. I have a longer than normal drop between the end of my nose and top of my lip. This is something I was born with and has nothing to do with the experience I'm describing. Ideally, the area from the bottom of the nose to the beginning of the lip should be 1.1 cm or to put it another way, when your mouth is open slightly you should be able to see some of your front teeth. There isn't much out there to correct this but a lip lift. Enough about my flaws...
The first week after the injection I was very upset as I felt I looked liked Meg Ryan gone bad. It wasn't that my lips were that much bigger but more of a feeling of puffiness in the area between my nose and top lip making my face look a little "apeish". Luckily, the RN convinced me to give it another week and if I still felt uncomfortable, she would dissolve the Juvederm. She also carefully rechecked for symmetry and added a bit more Juvederm in the bottom lip to ensure it was larger than the top as well as added a tad to even the right side of the top lip with the left side. She said since I still had some bruising the swelling was not completly resolved.
It's been 13 days since I had the procedure done and I'm very happy with the result. I went with the conservative approach and my lips have just a bit more volume and between the Juvederm and Botox my wrinkles are much smoother. I will probably have her fill in the chin area when I go back next week to round out the bottom of my face.
Here's the bottom line: The product Juvederm is safe, effective and a fabulous alternative to surgery. In fact, a face lift can't solve wrinkles around the mouth. The KEY is to do due diligence and find someone who is very skilled and has a grasp on facial esthestics. Remember that this is a very lucrative area and many unqualified people are jumping in hand over fist. Often you will find plastic surgeons who also have a skin care business as an extension of their practice. Trust me, when their reputation is on the line, they will have a qualified person doing the injections.
The last thing I want to remind everyone is to be patient on the amount of time it might take to have all the brusing to completely fade. It depends on a lot of factors as to who will be able to reappear in public in 3 days vs 1 week or more. For me it took 13 days to have the bruising fade to the point that I don't notice it and being this is on your face, you will have people asking questions.