Is there a reason my lip filler doesn't last more than a month?

Hello, thank you for your question. The longevity of a lip filler depends upon the original size of the lip, age of the patient, anatomy of the peri oral area, cupid's bow, oral commissures, upper cutaneous lip size and the amount of preexisting collagen.  I do believe the anatomy of the lip and peri oral area plays a major role with lip augmentation.  Some people may need more than one filler to rebuild the peri oral area and then achieve the lip fullness. Best wishes. Dr. Shanthala

I understand your frustration. Situations like these are also frustrating for the injectors as they don't happen very often. I can recall 1 or 2 patients of mine that just metabolized the fillers extremely fast. In smokers the fillers don't tend to last as long either. You can either try adding more filler, or switching to a bulkier filler such as Juvederm Ultra Plus or Voluma. Make sure you are seeing an experienced injector.

Most people think the filler doesn't last as long because the lips get very swollen after injection.  If you truly feel the results are not long lasting and you have compared before and after photos, then I would consider other options such as fat or a lip implant (although I tend to not like how implants look). Other fillers such as Perlane and Voluma, although typically used in the middle face, work very well in the lip in patients like you whom Restylane and Juvederm Ultra/Ultra plus just didn't seem to last. See an expert. Best, Dr. Emer