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Why does some filler end up above my lip and outside the lip line, even though it's injected in the wet/dry border?

hdchdcApr 15, 2018
When I get juv. UP in my lips why does some of the filler end up above the lip and right outside the lip line, even though she injects in the wet/dry border. It’s like it migrates upward.I’ve also been getting less every time (less than a syringe). Could it be b/c She’s not massaging hard enough? (She barely massages after because there are never any lumps) or b/c she uses a micro-cannula? (Wonder if it stays put more with a regular needle). Do you recommend injecting even lower down on the lip

Answers (3)

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Dr. Jonathan Kulbersh, MD
Board Certified Facial Plastic Surgeon
4.8 | 140 Reviews
Answered on Apr 17, 2018
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Jason Emer, MD profile photo
Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Apr 17, 2018
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Dr. Monika Soni, MD
Board Certified Anesthesiologist
Answered on Dec 26, 2018
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Charles Perry, MD

Swelling can last anywhere from 1 to two weeks depending on your body reaction. If after the first few weeks your lips are still to big there is a reversal that can be injected.

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Monika Soni, MD

Thank you for your question. It is common to have some asymmetrical swelling following fillers for lip augmentation which can take up to 2 weeks to resolve. You can apply cold compresses to the area to help reduce swelling. It is also advisable to avoid any NSAID’s before and after treatment a...

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Imogen Bexfield, BChD - Account Suspended

Thank you for the pictures Amber, the lips are filled with small blood vessels and there can be significant bruising and swelling if one or a few of these are traumatised during the treatment. From the photos I can’t see any evidence that the blood supply has been reduced as a result of the f...

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Jason Emer, MD

You would get a nice improvement with lip fillers (Volbella, Restylane, Juvederm). Nova threads can be used to improve lift and shape. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert to go over your desired results. Best, Dr. Emer

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Monika Soni, MD

Thank you for your question.  Injecting Juvederm to the vermilion border will definitely add volume to this area.  However, for more subtle, natural-looking results, I have had even better experience with Juvederm Volbella.  An in-person consultation with an experienced injector will be able to ...

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Monika Soni, MD

Thank you for your question. It is difficult to give you advice without examining you in person. However, this is not typical and if needed, you can have the filler dissolved with an enzyme known as hyaluronidase. I recommend having a follow up with your injector for an evaluation. Best of Luck!

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