Uneven asymmetrical lips after dermal fillers. How can it be fixed? (Photo)

Question

I had dermal fillers about a month ago and my lips have always been slightly asymmetrical however it is much more noticeable now. How should I go about getting this corrected?

Alan B. Brackup, MD, FACS · Answer

One would have to see your baseline to really determine how best to proceed.  It's not just that there's more fullness on the left side, but also a greater curvature where the white lip meets the red.  This upturn gives the appearance of a shortened "white" lip which magnifies the difference.  Depending upon your ideal lip, as well as what your lips looked like before, either adding filler to the border of the white-red lip junction on the right, or using hyaluronidase to diminish the fullness on the left, will be the answer.  I suggest going back to the doctor who treated you and discussing your concerns.

Sanjiv Kayastha, MD · Answer

Thank you for your question. There are a number of options that can address your concern. If you had your lips injected with a hyaluronic acid (juvederm, restylane, belotero) then it can be dissolved with injection of hyaluronidase. Alternatively, you could have slightly more injected increase the lesser side. Good luck.

Steven Wallach, MD · Answer

Everyones' lips are asymmetric, but you probably need a bit more on the right side of your face in both upper and lower lips.

Vicki J. Levine, MD · Answer

hyaluronic acid fillers can be dissolved with an enzyme called hyaluronidase. however I could imagine that would be very difficult to make both sides of your lip symmetric. it just might be safer to wait until the filler wears off.

Francis R. Palmer, III, MD (retired) · Answer

I suggest having a bit more filler on the side of your upper lip.  This will even it out to match the other side.  You can also have hyaluronidase to dissolve it, but I think adding a bit more is a viable option!

Uneven asymmetrical lips after dermal fillers. How can it be fixed? (Photo)

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