Lip Augmentation: Q&A
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Will Using Steroid Injections Remove Scar Tissue from Lip Inject Work 15 Mos. Later
15 months later, there is no Juvederm present any more but it sounds like I might have a hematoma on the upper left lip. I can’t stand the unevenness in my lips and rarely smile anymore. Has anyone had success with steroid injection to break down and reduce the scar tissue that is causing my lip lump? I don’t want to have surgery to remove it as this may cause sever scarring. All advice is welcomed.
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10 Doctor Answers |
Asked by
Kim from LA
in Metairie, LA
+3
Steroid for scar tissue
First thing's first, injectable filler substances rarely cause scarring. It is possible for scar tissue to develop after numerous filler procedures involving numerous needle sticks over a long period of time. However, this doesn't seem to be the case in this patient. While it is true that corticosteroid injections into hypertrophic scars (thickened scar tissue) or keloids (very thickened scar tissue) will improve their appearance, it doesn't sound like this is the case here....
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Unevenness in Lips after Fillers
Yes, I think you should leave your lip alone for another 6-9 months. If this unevenness is the result of a lip filler like Restylane or Juvederm, hematoma or not, the effects should all be gone by 2 years. Injecting steroid into the area will only add another variable into the lip with the possibility of making things even more lumpy and bumpy. Sometimes the most difficult thing, for patients to do, is to wait. However, often this is the most logical and reliable way...
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Scar tissue can be improved with steroid injections
In your earlier photos it did look like there was a hematoma with swelling and a purple discoloration of the left upper lip. By 15 months all of filler and the hematoma have resolved. Most likely the unevenness is from a scar. I don't recall any unevenness in your before photos.
Consult a board-certified dermatologist or plastic surgeon for an evaluation. Steroid injections are usually done once a month. Make sure the doctor you see is experienced with...
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Treating Scar Tissue from Juvederm with Steroid Shots
Fifteen months after your Juvederm injection there will no longer be any Juvederm present, There will not be a hematoma present as well so the swelling is most likely due to scar tissue. Steroid injections can often be used quite successfully to break down and shrink scar tissue. Low concentrations of steroid solutions should be used at first to be safe and the strength can be increased in additional injections if necessary. I recommend you be evaluated for this treatment by an experienced...
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Will Using Steroid Injections Remove Scar Tissue from Lip Inject Work 15 Mos. Later
Most likely. At least worth a try of 3 sessions every 3 weeks. I have seen this treatment work after a few years.
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Treatment of Lip Scar Tissue
You're at the point where you need a good doctor to examine the area and determine what will be the best option. You don't have any hematoma at this point and you probably don't have any remaining Juvederm. The most likely cause of the swelling is scar tissue, but somebody needs to examine your lips to really determine what is going on and what will be the best treatment option. Intresional injections of steroid can improve hypertrophic scarring, but even steroids have potential...
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Steroid shots do good to shrink scar tissue but often need to be done a few times.
Steriod shots are easy to get and usually done every 2-4 weeks to reduce scar tissue or organized hematomas at a cost of roughtly $100 per session and 2-4 sessions common. Good Luck,
David Hansen,md
+1
Steroid for Scar Tissue
From what I can tell in your pictures, it doesn't seem to me that there is a major scar on your lip. Did you have any trauma to the area during or after the injection? At this point, I think whatever may be causing the irregularity you are noticing (and I don't see any in the photo), you'd be better off with watchful waiting than to inject a steroid into the area. Because the lips are such an unforgiving area to work with, I'd hate for you to end up less happy after another injection. Speak...
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Asymmetric lip after Juvederm
You should see a physician who can evaluate your condition. How does it feel to their examination? Is there substance in the lip that feels consistent with residual product, scar, or organizing hematoma, or is there an asymmetry of the lip from a lack of elevation on that side that could be related to an unbalance of the smile muscles, whether related to prior Botox injections near the lower eyelids or volume injected with fillers in the cheeks and smile folds? You need an in-person...
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Scar/steroid shot
I agree that it would be best to have evaluated by an experienced physician. I do think that if they think that this is scar tissue that intralesional steroids would be a good option. In the correct hands you should not have much of a chance of additional troubles.
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