Restylane: Q&A
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Upper Lip Fuller on One Side Than the Other After Restylane
After having Restylane in the upper lip, why does the doctor rub it, and why does one side look fuller than the other?
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12 Doctor Answers |
Asked by
Ann Marie Desmarais
in Montreal Qc.
+3
Wait a bit, then see your doctor to see if more Restylane is needed
The biggest cause for early asymmetries after filler injection into the lips is swelling or slight bleeding into the tissues. Often by 1 week post injection, this swelling has "ironed itself out". At that time, additional injections may be considered.
Restylane tends to clump a bit, so massaging the areas can smooth out the lumps immediately after injection.
Fillers do not even out asymmetries in the cupid's bow. Placing more and more filler on the low side will only result in...
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+2
Give it time and Re-assess
Uneven results after Restylane may be attributable to:
Pre-existing asymmetries of which you were unaware
Injection techinique
Restylane properties
Swelling
1. If you have pre-existing uneveness (and most do) , the restylane may make this more obvious. I occasionally did not notice old scars (and the patients forget about them too) unitl I have injected the lip. Scar tissue does not expand like normal tissue and it can create a tethering effect like a tight band which creates a bulge or...
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+2
If there is an asymmetry, have the doctor inject more filler to even it out
Ann Marie,
All of the filler induce swelling at the points of injection which starts almost immediately after your injection and then for a several days post-injection. You can even see the difference if you ask to see in the mirror right after your injections. If the right side was injected first, when you look in the mirror after both sides have been injected, the right side will look fuller since it has been swelling for a few more minutes than the left side. This swelling resolves...
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I just recently had this done the first time 3 days ago. The only other filler i have had...
+2
May just need a little more filler on one side..
I often massage immediately after injecting to distribute the filler evenly throughout the area. I'd suggest waiting a few weeks to see if the uneven result you describe is merely a result of swelling. After a few weeks, if your lips are still noticeably assymetric, you may need a bit more filler on one side.
Always research your injector prior to making an appointment. Make sure he/she has the proper training and credentials. Doing this research will make you more comfortable and...
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Englewood Plastic Surgeon
+2
Lip asymmetry after Restylane can occur for different reasons
Filler enhancement for the lips is very artistic and definitely requires more skill than say, filling of the nasolabial folds. There are subtle differences from lip to lip, and what may look great on one face may look awkward on another.
After treatment, one side of the lip can look fuller than the other because there actually may be more filler injected on that side.
Or, if the doctor performed a nerve block with anesthesia, the bolus of anesthesia may have been more on one side than...
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+2
Who Kneads Lumpy, Uneven Lips?
Occasional lumpiness or un-evenness of the lips is not uncommon after Restylane or other filler injection to the lips or nasolabial folds, even with careful attention to injection technique and quantity. When this occurs, most physicians massage the lips to mold or re-distribute the filler more evenly across the intended area. When the Restylane or Juvederm has been injected into the proper tissue plane, there is some ability to "milk" it back and forth through the tissue plane,...
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Los Angeles Plastic Surgeon
+1
Post Restylane in Lips
There will be slight asymmetry post treatment as each half of the lip will react differently. Massaging the lips post treatment is common to ensure even distribution of the filler. I would suggest you do not judge the treatment for 7-10 days post treatment.
+1
Restylane changes after injection
Right after an injection with Restylane, you may experience a little bruising or swelling that lasts about 3 days. One side may swell a bit more than the other. You may also have a little more injected into one side. Massaging after the injection helps to make sure the Restylane is smooth and not lumpy. If one side appears fuller after 3 weeks or so, ask your doctor if you might benefit from a little touch-up.
+1
Uneven results with Restylane
Restylane is a very popular and effective dermal filler. Patients enjoy it because the results last for approximately 6 months but the benefits are immediate. As you have read on this board, it is possible to have unsatisfactory results when using this filler inappropriately. For this reason, it is important to only work with a board-certified plastic surgeon or dermatologist who has great deal of experience with these fillers. They will be able to provide a balance and natural looking...
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+1
Uneven Restylane results on lips
Your injector is messaging the product to make sure it distributes evenly under the skin around the injection point. Ideally, we would rather have more injection points rather than have fewer that need a lot of massaging.
If your injections look uneven after 1-2 weeks after the swelling has subsided, schedule an appointment to discuss this with your injector. You'll most likely have two choices at that point:
1. Reverse the injections with hyaluronidase (an enzyme that breaks down the...
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+1
You should wait at least 2 weeks for swelling from Restylane injections to go down
Unevenness may be due to differential swelling. One side may have received more manipulation than the other side and has become more swollen. You should wait at least 2 weeks before doing anything drastic.
The ways to correct it are to add more to the side that has less or is smaller. Or you can take some out of the side that has more by injecting an enzyme to digest the Restylane. You should go to someone that has experience in doing this to have a successful result. Knowing aesthetics...
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+1
Fillers
Rubbing in the fillers is a way to mold it so it is smooth. There is usually asymmetry between both sides of the lip. If one is particularly larger, then I suggest you get more filler in the other side.
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