Does dissolving lip filler cause lip wrinkles? Would refilling after dissolving solve this issue?

Question

So I want to start filler but I want my top lip to be the biggest lip as myend goal and my lower lip is naturally fuller but has some lines. I want to add some filler to the lower only for the lines but also get to the goal of making my top lip become too heavy so it’s bigger than my lower lip. My thing jssince im first time trying filler if I decide I want to know if dissolving makes me at rik for permanent wrinkles in the lower lip? Or will I be fine if I refill it after? Like I said if I get filler in the lower and it ends up looking too big I will want o dissolve since im trying to make my top lip become the biggest lip . Will I be okay if I got some in lower and wantedto dissolve and then refill with a lower g prime filler tjat only fixes the wrinkles? And js it possible to make a top lip become too heavy if you have naturally bigger lower lip if you build up the volume in the top enough with a thick filler and what technique to ask for that gives allthe volume and major height to achieve this?

Jeffrey H. Spiegel, MD · Answer

Dissolving lip filler can leave you lip deflated and wrinkly so you should do it cautiously and in small increments. Filler of high G' is typically not required for the lip area. Better to inject a product that's soft and hydrating like Versa Lips. All the best from Boston!

Anna Chacon, MD, FAAD · Answer

These are very thoughtful concerns, especially for someone considering filler for the first time. You’re thinking about long-term lip quality, not just short-term volume—and that’s exactly the right mindset.

Does dissolving lip filler cause wrinkles?

In most cases, no—dissolving filler does not permanently cause lip wrinkles. What some people notice after dissolving is:

Temporary loss of stretch and hydration that filler was providing

Pre-existing fine lines becoming more visible again

This can feel like “new wrinkles,” but in reality, it’s usually your natural lip texture returning, not damage caused by dissolving. When hyaluronic acid filler is dissolved conservatively and appropriately, the lip tissue itself is not harmed.

Very aggressive or repeated dissolving can irritate tissue, but when done carefully, it does not lead to permanent wrinkling.

If I dissolve, will refilling fix the lines?

Yes—refilling typically restores smoothness. Hyaluronic acid fillers attract water and support the lip structure, so when you refill (especially with a softer, lower G′ filler placed superficially), fine lines usually improve again.

If you placed filler in the lower lip and felt it looked too full, dissolving it and then refilling with a more conservative, softer product specifically for line correction is a reasonable and common approach.

Can you treat lower-lip lines without making the lower lip bigger?

It’s possible, but it requires:

Very small amounts

Superficial placement

A filler designed for flexibility rather than lift

Even then, it’s important to understand that any filler in the lip can add some volume. The goal is refinement, not zero change—but that refinement can still be subtle enough to preserve a smaller appearance compared to the upper lip.

Can the upper lip become bigger than a naturally fuller lower lip?

Yes, it can—but it’s not achieved by simply using the “thickest” filler.

The most effective approach focuses on:

Vertical height (lengthening the upper lip rather than pushing it forward)

Cupid’s bow and vermillion border support

Strategic structural support to create lift and show

Overloading the upper lip with very firm fillers can lead to stiffness or an unnatural look, so balance and technique matter more than filler density alone.

What technique gives height rather than projection?

To achieve a fuller upper lip without excessive forward protrusion, injectors typically focus on:

Vertical column support

Border definition

Controlled central lift rather than lateral overfilling

These techniques increase visible lip height and presence—helping the upper lip look more dominant without overwhelming the lower lip.

Bottom line:

Dissolving filler does not usually cause permanent wrinkles

Refilling can restore smoothness and hydration

Lower-lip line correction can be done conservatively

Upper-lip dominance is achievable with proper technique and restraint

For first-time filler patients especially, starting conservatively is key. You’re not locking yourself into a permanent result—and thoughtful adjustments over time are part of achieving a refined, balanced outcome.

Does dissolving lip filler cause lip wrinkles? Would refilling after dissolving solve this issue?

Answers (2)

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