Lip reduction or other option for non dissolvable filler? (Photos)

Hello,
Thank you for your question.
If the filler is silicone or another non-dissolvable material, dissolving it with hyaluronidase won’t be effective. Surgical removal is often recommended, but it can be challenging to fully extract the filler without affecting lip tissue, and some residual puffiness or irregularities may remain. For the circled areas causing concern, less invasive options like targeted corticosteroid injections or massage might help reduce some swelling or firmness, but these won’t remove the filler. A careful consultation with a specialist experienced in managing permanent fillers is essential to discuss risks and realistic outcomes of surgery versus conservative treatments.

It is possible to have lumps and deformity even after resorbable filler; while filler may be partially absorbed and dissolved, some residual material can cause inflammatory reaction and consecutive deep scar. One may try to reduce this bulk with application of corticosteroid into the lesson; if that does not work, surgical excision may be the only option. Good luck.