Which type of lip fillers last the longest?

The longevity of lip fillers can vary depending on the type of filler used, your metabolism, and how your body breaks down hyaluronic acid. Most commonly used fillers, such as Juvederm or Restylane, generally last 6–12 months, although some people may notice their results diminishing sooner.

If you’re finding that Juvederm only lasts around 3 months for you, here are some considerations:

Restylane Kysse: Specifically designed for lips, it can sometimes last longer than Juvederm in certain patients (closer to 9–12 months).

Juvederm Volbella or Vollure: These are also FDA-approved for lips and can offer more subtle, longer-lasting results compared to traditional Juvederm Ultra.

Metabolism differences: People with higher metabolism or those who are very active may metabolize fillers more quickly.

Non-hyaluronic acid fillers: Options like Bellafill (collagen-stimulating filler) can last longer, though it’s not commonly used in lips due to the risk of lumpiness.

For patients who metabolize fillers quickly, sometimes a different formulation within the same brand family can provide longer-lasting results. Touch-up treatments may also help maintain the look more consistently.

Juvederm is typically suggested as the longest lasting lip filler. Restylane may also be a good option. Both Juvederm and Restylane are hyaluronic acid fillers. HA fillers are the most popular choice for lip augmentation. They are temporary and tend to be absorbed by the body over time. Some versions, like Juvederm Volbella, may last up to 12 months or longer. If your lips are settling quickly after the Juvederm, there may be some other reasons for this. Individuals with a faster metabolism may break down hyaluronic acid (HA) fillers more quickly, leading to shorter-lasting results. The body naturally metabolizes HA, so those with higher metabolic rates might notice the filler dissolving faster. If the filler is injected too superficially, it might be more prone to breaking down quickly. Proper technique and depth are crucial for maximizing the longevity of the filler. The lips are one of the most mobile areas of the face, and constant movement can cause the filler to break down faster. This includes talking, eating, and other facial expressions that involve the lips. Hyaluronic acid fillers rely on moisture to maintain volume. If you are dehydrated, the filler may not last as long. Factors like smoking, excessive sun exposure, or vigorous exercise can potentially accelerate the breakdown of fillers. I would recommend going with Juvederm Voluma as it is intended to me more long lasting and ensure that you are taking the proper aftercare steps, staying hydrated, and reducing sun exposure.

You can use many different types of fillers in the lips but it's important to note that the HA fillers that last longer will also have a firmer feel. Some patients would rather have their filler treatment done more frequently and keep the more natural feel versus having stiffer lips and more longevity. Speak with your injector to decide what is best for you.

RHA fillers usually last longer than Juvederm, but none of these are permanent. People who exercise a lot do chew up filler faster. You could consider fat grafting to your lips.