I had Teosyal KISS and Fortelis Extra injected in my lips and upper lips area. Although it has flattened out, another doctor had injected widase to dissolve some of the material which created an indentation. Is it possible that the Teosyal and Fortelis are still in my lips because of the amount he injected orr was it replaced by my own collagen? Is this possible? Is it possible for it to last this long? What can I do to dissolve other than wydase?
Is it Possible for Injectable Filler to Still be in My Lips 3 Years After Being Injected?
Doctor Answers (4)
Longevity of Hyaluronic Acid Lip Fillers Like Teosyal, Fortelis and Juvederm
Hyaluronic acid lip fillers like Teosyal, Fortelis and Juvederm typically last up to a year. However there are some studies which suggest that they can last longer when the injections have been topped off before the lips return to their baseline volume. Also it is quite possible that the fillers injected had stimulated the production of your own collagen as well.
Since Teosyal and Fortelis are types of hyaluronic acids, it might be possible to use hyaluronidase (enzyme) to minimize the volume in your lips. However it is best to discuss various options with your physician in order to achieve the results you want.
Longevity in lip fillers from lip augmentation
Longevity of lip fillers
Although we routinely tell patients the expected life span of typical hyaluronic acid fillers such as Juvederm and Restylane is one year, there are many occasions where these fillers have lasted much longer. Some patients can take longer to metabolize the hyaluronic acid, while in others the injections may stimulate new collagen formation through mechanical stretching of the dermis causing activation of dermal fibroblasts.You can follow the web reference link below to see before and after pictures of my wife's lips that I injected with Restylane four years ago with no touch-up injections since!
You can also follow the video link below to see me injecting my wife’s lips with Restylane:
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Lip fillers and lip augmentation - longterm results
While lip augmentation with fillers is a very common procedure, it is actually a very delicate area and can vary from person to person. In general, when using hyaluronic based fillers (such as Teosyl, Fortelis, Juvederm, Restylane, etc.) the filler is usually completely resorbed in about six months. It would be rare for the product to be present three years out but there is a chance that some of it has persisted. The other possibility is that there is some slight scar formation in the area. Besides Wydase, you may want to try aggressive massage and hot compresses. Rarely, I have had to treat patients that I have seen with similar concerns to yourself with low dose kenalog injections.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.