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Juvederm Ultra Smile provides immediate lip volumization and contouring, with results visible after 1–2 weeks as the gel settles. Ultrasound studies show 70–80 % volume retention at 6 months and about 50 % at 9 months. Lip treatments generally require maintenance every 6–9 months to maintain desired results, with the lip area benefiting from more frequent touch-ups. Juvederm Ultra Smile has a low water uptake, ensuring that the results seen immediately after the procedure are similar to the final outcome in the coming weeks. Hyaluronidase can be used for quick and predictable reversal if needed.