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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8 answers to “Upper lip fuller on one side than...”

A: You should wait at least 2 weeks for swelling from Restylane injections to go down

By Philip Young, MD - Seattle Facial Plastic Surgeon

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... more

A: Give it time and Re-assess

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

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... more

A: Wait a bit, then see your doctor to see if more Restylane is needed

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

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,... more

A: If there is an asymmetry, have the doctor inject more filler to even it out

By David Shafer, MD - Manhattan Plastic Surgeon

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... more

A: May just need a little more filler on one side..

By Stephen A. Goldstein, MD - Denver Plastic Surgeon

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... more

A: Fillers

By Steven Wallach, MD - Manhattan Plastic Surgeon

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.

A: Lip asymmetry after Restylane can occur for different reasons

By Felix Kuo, MD - Long Island Dermatologist

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... more

A: Who Kneads Lumpy, Uneven Lips?

By Athleo Louis Cambre, MD - Los Angeles Plastic Surgeon

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... more

Comments

Alessandra Leggeri
1 post
3 Dec 2008

i recently had hydrafill for the second time in my top lip 4 days ago. the first time i had it injected, it was injected in four points (two on the sides of the mouth and under the cupids bow on either side). this time, she injected only on the sides and once in the middle. it looks more swollen on in the middle, especially the right side where she injected, and there also appears to be a bit of a gap between this lump and where the lower fill was injected. i know it has been less than a week, but is there anything i can do to reduce the prominance on the right side and make it fill the gap, like massage or something??

SkinWizard
4 posts
7 Nov 2008

After fillers are injected the body often reacts with swelling. The swelling is rarely exactly symmetrical from one side to the other. My best advice is to observe the area over several days. Usually the areas even out. Sometimes a small bruise is present in one area that is within the tissue and cannot be seen immediately. That will cause that area to appear larger. The doctor often appears to rub or knead the injected area. More often than not he is not really moving the product but insuring it is feathered into the surrounding area. Sometimes we do that to determine there are no skip areas.

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