A: Lips are very hard to get right and shaping the lips and injecting gently to prevent lumping is something that comes with experience. I have been injecting lips since 1983, and I still feel I get a little better every year, even with so many years of experience. Juvederm is normally the softest of all HA fillers, so this is very unusual. I would suspect you were injected too high in the mucosa and it needs to be reduced with hyaluronidase. The good thing about Juvederm and restylane is they can be dissolved if the result is not quite right.
Q: I am planning on getting Juvederm in my lips. What should I do to prepare?
A: First, to reduce the risk of bruising, discontinue non-medically necessary aspirin, fish oil, vitamin E and ibuprofen. Second, get a prescription of Valtrex to reduce the risk of the injection trauma triggering a herpes simplex (cold sore) flare. Lastly, look at the doctor's before and after pictures to make sure the results from this provider are what you want. You do not want to be surprised with duck lips!
Q: I am over 50 and have never smoked, but have suffered with fine smokers lines all around my lips for years. Why? And what can I do to fix this? I do not want to look like a monkey.
A: Many people who have never smoked get perioral rhytides (lip wrinkles). It can be inherited, from too much sun, from chewing the inside of your mouth, whistling, talking, using a straw and lip pursing. There are several options: A little Botox can help reduce unintended lips pursing but might be a problem for those who talk for a living. Whistling can be impossible for several months post-Botox. Laser resurfacing using Active/Deep FX can help too, but the most common and easiest solution is Juvederm. I like the Ultra FX for this and I will often add a little extra lidocaine in this area to thin the product out and prevent lumping and upper lip swelling (that "monkey look") as well as further reduce pain in this sensitive area. Results typically last 6 months in this dynamic area.
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- Juvederm Lips New Orleans - I would like my lips to be plumper and have a bit of a pout. They're quite thin and the upper lip especially has a very flat look between my nose and lips. Since I have a slight overbite do you think the filler would make my lips look very fake and ducklike? I want it to look natural and subtle. How much do you think I would need and where would I have it injected for the most benefit? Also would you recommend that I get it in my philtral columns?
- Juvederm Before and After New Orleans - I had Juvederm injected into my lips about 3 weeks ago by a very new doctor in Baton Rouge. The swelling has completely gone down, and at first glance my lips look fine (not the results she promised but they look ok). This is my problem: when I feel my lips, they feel hard, accompanied by pain if I squeeze. Is this normal? It has been 3 weeks.
- Juvederm Fillers in New Orleans - I have had Juvederm injected for years by my dermatologist and loved the results. I was at my dentist recently and while i was in the chair and numb, he suggested I let him inject me since he was now doing Juvederm injections. Well, I did not want to offend him right before he was about to fill a tooth, so I said "sure". I am now heartsick. I am crooked and lumpy and I don't even think it was injected where my wrinkles were. What went wrong?
- Juvederm for Frown Lines New Orleans - What is the best filler for the frown lines?
- Juvederm Bruises New Orleans - How long does Juvederm treatment usually take?
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.
Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.
