Why do some women look over-filled with a puckered-lip fish look after injectables?

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When injectable facial fillers are done correctly, most women (and men, because many men are now using fillers as well) will not get the trout mouth or puckered lip look. But, unfortunately the temptation and desire to eliminate every wrinkle can result in overfilling an area and creating distortion. For example when just a top lip is filled and the bottom is ignored an imbalanced look can occur creating an unnatural look.
Some patients have a strong desire to achieve a certain look so they request and seek more and more filler for an area. But there is a limit - at least in our office! They hyaluronic acid fillers made by the companies of Allergan and Galderma (i.e. Juvederm, Restylane,) are the most popular for enhancing the peri-oral area, marionette lines, nasal folds or lip area. Some are more appropriate for specific areas and that is where the injector's technique is key.
In our office we find our patients results last about 6 to 12 months if not longer, before they are coming in again for their next treatment or further enhancement. There are certain products on the market that promise longer results, but they are not always recommended in the lips or peri-oral area, so discuss options with your injector before you proceed.
Article by
West Palm Beach Oculoplastic Surgeon