Super little bubbles like spots on my lips - could this be caused by too much filler? (Photo)

Your lips are extremely overfilled and I would advise not to add anything else. When lips are overfilled like that, it can cut off the blood supply and result in dead tissue. Once that tissue is damaged, it has to be removed and there is no going back from that. You can already see those tiny blood vessels are being stretched to their limit, and adding to your lips will end up causing a rupture, loss of circulation to that area or even nerve damage.

Filler material does not completely reabsorb!. In many cases, inflammatory reaction will result in scar formation; combination of multiple scars, residual filler and continuous inflammatory reaction are causes of your problem. We, as a plastic surgeons, see more and more frequently (when performing open surgery) how significant tissue changes are happening with long term use of fillers and multiple injections, eyelids and lips, in particular. Good luck.

I wish you the best. I would seriously consider the question "how much, is too much?" everyone has their limits. Please make your safety your no.1 priority.