Juvederm after 5 years of silicone injected in upper lip. Can I fill the middle with HA? (Photos)

The short answer to your question is that most experienced injectors would be extremely reluctant to inject even today's natural hyaluronic acid-based fillers into areas previously treated with permanent fillers, such as silicone. Permanent fillers have been associated with the spontaneous development of nodules and granulomas even five, ten or twenty years after injection. The concern here that the mere physical injection of the filler might trigger just such a reaction, which can be very difficult to treat. This is enough for me to personally interdict any kind of subsequent injection--even within areas that are closeby to the previously treated sites, which still may be affected by the silicone even if not visibly on the surface. 

Thank you for your question. I believe that you can now safely use an HA filler. There is always a risk of inflammation or infection whenever an injection into the skin is involved. Please make sure you see a qualified injector as this will greatly reduce the risk of infection. 

Thank you for your question. I believe that you can now safely use an HA filler. There is always a risk of inflammation or infection whenever an injection into the skin is involved. Please make sure you see a qualified injector as this will greatly reduce the risk of infection. Best of luck!

It is very unfortunate you've had silicone injected in your lips. Although you could inject hyaluronic acid fillers to partially hide the deformities it would significantly add further asymmetry to your lips. It is also impossible to predict what additional problems may develop when hyaluronic acid is injected in this environment. Mae sure your injector will be available for close follow ups. Good luck!

You are probably safe in adding hyaluronic acid filler to your lip even in the face of having had prior silicone treatments. Most doctors will have you sign a waiver however so as not to take the responsibility if something should go wrong. Good luck from New York City

Yes, HA's can be used in the lip even though you have had silicone placed in them.  Best of luck with your decision to move forward. In my office I do the injections.