Restylane: Q&A

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Restylane Has Permanently Deformed my Lips? (photo)

I had Restylane injected into my lips 2 years ago and was unhappy with the results. A few weeks later, I had vitrase injections, and the restylane dissolved, but my lips were left uneven. Not only that, they dipped down at the corners and it created a duck-like look. I recently had another injection of vitrase to dissolve any additional filler. It seems as though my lips were permanently deformed after all of this. I want my natural lip shape back, what are my options at this point?

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12 Doctor Answers | Asked by Jeffery20012

Doctor Answers (12)
Community Comments (0)

Lip deformity after #restylene

Restylene is one of the older fillers we have on the market. it is also one of the most widely used fillers. I see the lip deformity you have as compared to your "before" pic. I have taken care of this type of Restylene deformities before and surprisingly one of them was also on the upper lip. in my experience it took more than 1 attempt to dissolve the filler. u might have to go back and get it dissolved again until it is better. the longer you wait the more difficult it gets to... more

Misbah Khan, MD

5 reviews

New York Dermatologic Surgeon

Restylane has permanently deformed my lips?

Hello, and sorry to hear about the issue you are experiencing. In general, a lip augmentation with Restylane can lead to certain side effects. These may include the following: 1) Swelling 2) Unevenness 3) Lumps or bumps 4) Pouty appearance due to overfilling It is possible the unevenness you are experiencing is due to excess filler that still may be present and was not dissolved with the vitrase. Once the filler is gone, your lips should return to their original state and look... more

Restylane in Lips after Two Years

You appear to have a even contour to your lips. If you are referring to the size discrepancy between the upper and lower lips, a lip reduction procedure can be performed.

Restylane to lips

Restylane won't last 2 years in the lips - so using Vitrase at this point doesn't make sense. Your lip shape appears to have changed from the original photo you posted, however without knowing your history of use of other products, it's difficult to say what your options are.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Restylane Has Permanently Deformed my Lips? (photo)

If you are 2 years post injection than I must assume IT WAS NOT RESTYLANE! You most likely had a permanent filler placed!

Restylane in lips

Jeffrey, I agree with those that said that your lips were lovely to begin with and that you should not have any Restylane remaining in your lips after two years and two vitrase treatments. Also, the before and after photos are impossible to compare as they are taken from very different angles.

Hyaluronic acid filler can persist beyond two years.

It means nothing really that you had vitrase. Many physicians are uncomfortable with this product and don't really understand the dose. Older HA filler disperses overtime. This means much more enzyme is needed to remove an old treatment than a new treatment. Doses in excess of 1500 units of hyaluronidase may be needed to remove the remains of an old treatment. If 1500 units of hyaluronidase does not make a difference, it is likely that someone used... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Restylane in lips

At two years after restylane treatment, it is unlikely that you have restylane still in your lips. Are yousure resty was used and not some other permanent product?

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Restylane effects are temporary

Restylane does not last for 2 years in the lips. Whether or not hyaluronidase is injected, the material resorbs without any permanent effect. Restylane has a long clinical record of safety and effectiveness, and while it can last up to a year in the cheeks it rarely persists longer than several months in the lips.

Lips deformed after Restylane

Looking at your before photo, I wouldn't have recommended fillers for you in the first place. The bottom lip on most people is 2/3 and the top lip is 1/3, you had that exact proportion in your pre-photos and not to mention, a really nice shape as well. It appears in your post photos that filler was only done to the top lip. I don't know how much was used, but regardless, it was too much. When too much filler is in one location, like the upper lip, sometimes a few rounds of Vitrase... more

Restylane deformity?

I agree with Dr. Kaplan. I do not see any deformity on your photos and note that you have very full lips to begin with such that I would not have recommended Restylane.

Restylane Alternatives for Lips

Hi Jeffery. We do not see any deformities in the pictures you posted. You have very full lips so adding products or implants would not be a recommendation we would make. As for permanent changes caused by Restylane, we have never seen this before. Once Vitrase is used the product is typically fully dissolved. And if it's not at the time, it does not usually last more than a year in the body.