I have a ridge/shadow on upper lip after filler. Does this always happen or can it be eliminated with better technique? (photos)

Question

I recently had lip filler done (3 weeks ago) with 1m of Versa by Revanesse. I don’t love it, but I don’t hate it enough to dissolve it. I feel like I got a slight enhancement, but I am not keen on the ridge/shadow area over my top lip. Is this something that will always be this way if I were to get filler again or was it due to technique? Once it dissolves I may want to try again, but only if that ridge above the lip can be avoided. Bottom photo is prior to filler and top is my 3 week result.

Raffy Karamanoukian, MD, FACS · Answer

The bottom line is that you are unhappy with the Versa Filler by Revannesse Prolennium. This filler is FDA approved and manufactured in Canada. I have a lot of experience with filler complications and botched fillers and this should be refined so that your desired results match your physical lip contour. I would remove the Revanesse Versa filler and opt for a more customized filler such as Restylane or Juvederm.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question.  Hopefully by now the lips are nice and even and settled in.  When a full syringe of Versa is put in, there definitely can be some firmness and noticeable edge because there simply is only so much the lips can take.  I think the full syringe might have been a bit much for your lovely smaller lips, so maybe try some Volbella which comes in a 0.55cc syringe which is much softer and more forgiving, while not having as much actual volume.  Best of luck!

Steven F. Weiner, MD · Answer

This ridge can occur with filler injection that may be too much for the lips to handle. If you want big, it is unavoidable. Placement of filler in the area above the lip can make the transition less noticeable. The swelling should be subsided by this point.

I have a ridge/shadow on upper lip after filler. Does this always happen or can it be eliminated with better technique? (photos)

Answers (3)

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I have a ridge/shadow on upper lip after filler. Does this always happen or can it be eliminated with better technique? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Revanesse

Our mission is to create a world where every investment in modern beauty is Worth It.