Why Didn't Restylane Work In My Lips? Should I Go For Another Syringe?

I'm 22, Asian, my lips are pretty full already, but I've always wanted a larger top lip-had 1 syringe of Restylane injected last week. It really hurt. My lips looked great for two days. On the third day, I woke up and they had completed deflated. They look exactly like my natural lips. I know this because I took pics before the procedure and each day following. The doctor says I should come back for a second syringe, but will it make a difference? it really hurt and was expensive...

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11 Doctor Answers | Asked by Naomi89 in New York, NY

Doctor Answers (11)
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Restylane in the lips

It is not common for Restylane to last that short a period of time, if it was injected deeply, it can last shorter, but if you looked good right away, then it likely was not done too deeply. I am unsure whether it would be good to have more if that has been your experience

Why Didn't Restylane Work In My Lips? Should I Go For Another Syringe?

Sounds more like a case of needing more volume not an issue that the Restylane went away in a few days. IMHO, Restylane and Juvederm work great as fillers to add volume to thin lips. However, if the lips require additional volume, Alloderm Lip Implants are the gold standard offering soft, supple, plump lips that last over 7 years. The most import factor in Lip Augmentation, IMO, is that the MD performing the Lip Augmentation understands and follows the proper... more

Lip fillers

If you like the way it looked two days later after injection ( often maximally swollen), chances are you need more filler. It didn't go away, it probably was not enough.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

It all depends on where it was placed and the technique

Restylane is very dependent upon who places it in your lips and if you have an injector who places it more on the area between your lips and nose rather than in the lips it can essentially disappear. On the other hand, the swelling you had my have just been that - swelling. I always have my patients look at their lips immediately after the procedure so they can see what it looks like BEFORE the swelling starts to happen as it will be distorted within minutes of the procedure and... more

Problematic Restylane Lip Augmenation

Several items in your question raise red fags: - vanishing "Restylane" -painful treatment The treatment should be painless and demonstrable. Unless you were injected with either water or saline, which would be absorbed, Restylane would remain and an increase in lip volume should be obvious. Something to thInk about.

Restylane for lips

1 syringe of restylane in the lips should have made your lips much more luscious and plump. A full syringe in your lips would have actually been too much. I wouldn't go for another syringe and get another consultation.

Why Restylane did not work in your lips

I agree that one full sized syringe of Restylane (1.0 cc) is too much for use in the upper lip alone without your seeing way too much of an increase, let alone no improvement. Perhaps your doctor used a smaller, touch-up sized syringe (0.5 cc). Normally, the smaller sized syringe should not be very expensive. Something is clearly not right here so I would recommend against returning to the same physician. The video link below shows the results of my injecting my wife’s lips with... more

One syringe of Restylane should be more than enough for upper lip.

Hi. Something is off about your story. Pain is eliminated with dental blocks. And there is no way that filler could disappear in two days. The result you saw was probably swelling. I would suggest getting another opinion before you go back for more of the same. see video

It would be so much easier to help you with a photograph.

Naomi There is no way that 1 ml of Restylane could be placed just in your upper lip and for the lip to be completely deflated 3 days later. Honestly no one will look right if an entire 1 ml syringe in placed into an upper lip. This would result in an upper lip so large that even an adult entertainer would be embarrassed by the appearance. I treat a number of executives and actresses. Typically 1 ml is used to treat both the upper and lower lip with more volume... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Lip Augmentation with Restylane

It is difficult to assess your situation without photos. It is not unusual to underestimate the amount of product needed to obtained your desired outcome (and always better to under correct than over-inflate.) It sounds as if you experienced some swelling after your procedure, giving you a fuller appearance. With regards to your pain, there are measures you can take to aid with discomfort as well, such as topical numbing cream and icing the area to be injected. I... more