Although there is no clear contraindication between the procedures I would advise to book teeth whitening first at least 48 hours piror to your lip filler appointment This is to enable enough healing process (2 weeks) for your lip filler post treatment.

I had 1ml of lip filler back in March. I’ve had one lip flip before then and a few after. I’m going for .5ml more as well as a lip flip in a week. I’d it ok to get my teeth whitened before my appointment next week?

Teeth whitening before lip filler / lip flip?

Lip Fillers

Natural results depend mainly on technique, however, the appropriate type of filler is also important. For a soft, mild volumizing and enhancing result it is important to use a filler with a low G prime and high cohesivity. These terms relate to the cross-linking technology i.e. compressibility and spread. For lips it is best to use something soft and spreadable. Hyaluronic acid HA, a naturally occurring substance found in the connective tissues that cushions and lubricates. Because HAs are hydrophilic, they attract water from surrounding tissues, further augmenting soft tissue volume beyond what is expected from product implantation alone. For this reason, HA fillers are often excellent choices for enhancing lip volume. My favourites include Kiss, Saypha soft and Stylage S for the most natural results. 
For tear trough or undereye filler, I prefer platelet rich plasma or an HA that does not pull as much water to prevent swelling. It has to haave the right balance of stiffness, cohesivity, duration of effect (about a year under the eyes), and relatively low swelling. Most importantly, injection technique is crucial.

I want lip filler but i really dislike the fake look. I know that fat transfer can be unpredictable and cause irregularities. I don’t want that. Is micro fat a good option, and does come with the same risks? What would you consider the best lip filler for natural results? How about in the orbital rim of the eyes for hollowness? Thanks.

What’s the best lip filler for natural results? Is micro fat transfer reliable?

Even though injectable hyaluronic acid (HA)–based fillers are considered safe, rare complications, such as late-onset inflammatory reactions have been reported. Late-onset inflammatory reactions to HA fillers may be self-limiting but are easily and rapidly treatable with oral steroids, and with hyaluronidase in the case of lumps. It is likely these reactions are due to a Type IV delayed hypersensitivity response. Delayed inflammation associated with HA fillers is nonbrand specific. However, if 1 brand triggered a hypersensitivity reaction this may suggest that the technology used in the manufacturing process, and the subsequent differing products of degradation, may have an influence on potential allergic reactions to HA fillers.

Three months post lip fillers and started developing swelling, tingling which eventually led to several cold sores all over top and bottom lips I typically get one or two cold sores a year but, nothing like this. Could I be allergic to fillers this far out post injection? I would say there's roughly 5 or 6 blisters between top and bottom lips. Do I have to dissolve my fillers?

Cold sore outbreak post lip filler - could I be allergic? (Photos)

This looks like a combination of technique and possible reaction to either dissolver or filler, depending on the timing. Some of the filler may still be present and has crossed the wet dry border of your lips. If there is no palpable filler this could also represent an blister due to allergy of either the filler or hyaluronidase. These cysts can develop when hyaluronic acid like Restylane or Juvederm is injected too superficially into the skin, causing these "blebs". Or the filler may have become moulded into a ball. Nodules and blebs generally look like white or skin-coloured lumps and are painless and harmless, you might need further dissolving in the correct layer. To treat these, a practitioner will either massage and warm them with a compress, then the nodule is punctured and the filler is released. Sometimes, if these lumps, bumps, or swellings occur weeks/months later, they can be a little tricker to manage. As well as dissolving there may be a need for antibiotics or steroids to full manage the problem. On these occasions, a medical injector will assess your medical history and prescribe the correct medicine, or procedure, to fix the complication.
It is important that you are looked after by somebody who can medically manage you - having specialist knowledge of aesthetics treatments and their complications.

I've had Juvederm to my lips years ago and they just got more and more distorted which I horribly hate. After unsuccessful enzyme dissolving I inspected my lips more thoroughly and I would like to ask for your opinion why this happened and how to restore my lips to the primary shape? Was this the product, poor skill/technique, both, something else? They're smaller on the before pic but look sooo much better than now

Why did this happen after my lip filler? How can I restore them to the original shape? (Photo)

Prp can be done right away if it’s purely your own blood. Laser treatments on areas that you have recently tanned should be avoided.

how soon after PRP treatment can you have Laser Hair Removal treatments on other areas of the body?

How long should I wait to have laser hair removal treatments after PRP treatment?

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Monique Mazzuca, MD, CCFP

Aesthetics Now

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