Indent in the middle of top lip and overall unevenness. What are your recommendations in fixing this issue? (Photo)

Question

When I smile you can really see the missing fullness and as a chunk missing in top lip in multiple places. It’s been 2 weeks since an Initial appointment and a week since trying to fix it with the same physician. What’s should I do?

Jason Emer, MD · Answer

Thank you for your question!  I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. Technique is the key to a successful lip augmentation with fillers, so you'll want to see someone meticulous. If you're unhappy with your final results, you can have the filler dissolved with hyaluronidase and try a different technique next time. At my practice, I recommend using a Lip Injectables Post Care Package that was custom-curated by my team and I, to give you the best results possible. This package, along with a free consultation with one of my Skin Care Specialists, can be found at Emeragecosmetics.com (see link below).An experienced physician will be able to determine which technique will give you the results you're looking for.Best, Dr. Emer

N. Bill Aydin, MD · Answer

Thank you for your question, Giving0808! I would give the filler at least 3-4 weeks to settle as swelling can sometimes create unevenness. If at this time your problem still persists, I would follow up with your injector. You could either dissolve or add a little more filler to the center for an easy fix! Best of luck!

Tim Neavin, MD · Answer

Thank you for your question. Best option is to wait at least 3-4 weeks and follow up with your original injector regarding your concern.

Mark E. Mason, MD · Answer

Lindsay here, CANS Nurse Injector for Dr. Mark Mason. I would wait 4 weeks, and then go back to your original injector. You have two options: (a) Dissolve the two prominent areas of fullness in the upper lip(b) Add more filler between the two prominent areas of fullness in the upper lipIt will ultimately be between you and your injector, but if you were our patient, I would recommend adding a little bit more in the upper lip between the two areas of fullness. I think you'll get a great outcome! Hang in there!

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  After two weeks you can choose to either dissolve the product to restore your previous appearance, or add product to help even out your lip proportions.  Best to see a specialist in consultation to further your results.

Dmitriy Schwarzburg, MD · Answer

Fillers are used to add volume where needed. This needs to be corrected by an experienced physician who understands how to treat different types of lips for great outcomes. Consult with a trusted doctor to know more.

Accents Cosmetic Surgery and Medical Spa · Answer

Thank you for your question and for providing photos. 
Since it has only been 2 weeks since your lip injection, there is still more time for healing. Swelling can take up to 4 weeks to resolve and therefore it would be difficult to assess the true outcome of your injection until that time.
It is best to allow for your lips to heal fully then to follow up with your provider who will be able to assist you further if the issue persists. Options for treating the indentation and unevenness could mean using a bit of dissolving product to dissolve the juvederm which heals in a few days time.

Camille Cash, MD · Answer

It can take up to two weeks to see your filler results, as it can take swelling that long to resolve.  If after two weeks you still have concerns, return to your injector for an examination.  A touch up can be done if necessary.

Indent in the middle of top lip and overall unevenness. What are your recommendations in fixing this issue? (Photo)

Answers (8)

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