Overfilling the lips with dermal filler and the wet mucousa

Question

I have experienced a complication as a result of a dermal filler procedure and have received multiple, conflicting diagnoses from different physicians (I have seen a dermatologist, two plastic surgeons and two aesthetic specialists). I have heard that overfilling the lips can cause a disruption in the wet-dry border junction of the lip. A plastic surgeon advised that this can lead to crusting of the lip. However, I can find no information about this. Is it reported in the literature? Where?

Sammy Sinno, MD · Answer

Hello,

It is possible that large volume injection into the wet vermillion (wet portion of the lip) can displace the red roll (or junction between wet and dry vermillion). As a result, there can be areas of wet vermillion that can become dry, but this would require significant augmentation to occur.

In my review of the literature I have not found reports on this phenomenon.

Alain Michon, MD · Answer

Thank you for your question. Overfilling the lips can cause serious complications. By putting too much product it will disrupt eventually the blood supply to the skin and surrounding area and lead to complications like the one you are experiencing. Hyaluronidase can be use to dissolve some of the filler if hyaluronic acid was injected. Good luck,

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