Do my lips look weird? Lip Filler since October 2023 (Photo)

Question

I got lip filler last year and when I smile my lips look like this . Is this normal? Or does that mean migration is above the lip. I posted before and after pictures. Me in the blue shirt is how my lips looked before I got lip filler. I had lip filler October 2023 of last year and now my lips look like this (after is sunglasses picture)

Anna Chacon, MD, FAAD · Answer

It's great that you're paying attention to the changes in your appearance following your lip filler treatment. However, without being able to see the photos you're referring to, I can provide only general information on what might be happening.

Lip fillers can sometimes result in changes that are not entirely as expected. Here are a few possibilities for what you might be experiencing:

1. **Swelling and Asymmetry**: Swelling can persist for a while after the procedure, and asymmetry can occur if the filler wasn't distributed evenly.

2. **Migration of Filler**: Filler migration is a condition where the filler moves from the original injection site to another area, which can cause a swollen or uneven appearance above the lip.

3. **Volume Changes**: Over time, the filler can settle or be metabolized by the body, which can alter the appearance of your lips.

4. **Natural Aging**: Changes in the face due to natural aging can also affect how fillers look over time.

Steps to Take:

1. **Consult with Your Injector**: The best course of action is to consult with the practitioner who performed your lip filler injections. They can assess your lips in person and determine if what you're experiencing is normal or if there is an issue that needs to be addressed.

2. **Seek a Second Opinion**: If you're not satisfied with the explanation or results from your original injector, consider seeking a second opinion from another experienced medical professional specializing in cosmetic procedures.

3. **Avoid Additional Treatments Without Consultation**: Until you have a clear understanding of what's happening, avoid getting additional treatments or attempting to fix the issue on your own.

When to Seek Immediate Help:

- **Severe Pain or Discomfort**: If you experience severe pain, significant swelling, or signs of infection (such as redness, warmth, or discharge), seek medical attention immediately.
- **Allergic Reaction**: If you suspect an allergic reaction (difficulty breathing, hives, swelling of the face or throat), seek emergency medical care.

It's important to have a professional evaluate your concerns to ensure that any necessary adjustments or treatments are handled appropriately. Your health and safety should always be the priority.

Lexie Wang, MD · Answer

I don't really see migration as much as it looks like there's just too much filler. Hard to tell without seeing other angles, though.

Camille Cash, MD · Answer

An in person evaluation is best, but it doesn't appear obvious that you have migrated lip filler.  If you are uncomfortable with your results I encourage you to visit with your injector.  Certain angles of photos can be deceiving so it is best to look at before/after photos taken by your injector.

Mats Hagstrom, MD (license on probation) · Answer

If your lips look different, then the filler is the most likely explanation.
Most people find that lip fillers dissipate in about six months.
Some people have results or changes soft tissues after the injection of fillers that can last longer.
This is true, whether the result desirable or not.
 Ligation is not easy or straightforward and the number of providers who are truly exceptional at this kind of work be as high as people think.
There are lots of providers offering these treatments who really don’t have mastery of their skill.
In my experience, fillers do not migrate.
The concepts of fillers migrating is a made up excuse for those not willing to take ownership of mediocre work.
Your lips have a fairly rapid or abrupt change from being full in the center to thin in the corners.
With the more abrupt transition augmenting, the lips becomes a little more challenging since we generally don’t want to make the lips look bulky in the corners of the mouth.
Either follow up with your provider or schedule a few second opinion consultations with other providers in your community.
I don’t see anything obviously wrong with your lips or any strong indication for intervention.
Best,
Mats Hagstrom MD

Do my lips look weird? Lip Filler since October 2023 (Photo)

Answers (4)

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