Are these broken capillaries from lip filler or something else? (Photo)

Thank you for sharing your concerns and providing a photo. Broken capillaries and redness around the mouth can indeed be distressing. While it's possible that these symptoms are related to the lip filler, they could also be due to other underlying conditions, especially considering your history of perioral dermatitis and fungal infection.

Here are a few points to consider:

Lip Filler Reaction: While uncommon, some individuals may experience prolonged redness and broken capillaries following lip filler injections. If the filler is causing an adverse reaction, dissolving it with hyaluronidase can sometimes help, but you've mentioned that partial dissolution didn't make a significant difference.

Perioral Dermatitis: This condition can cause redness and small pustules around the mouth, and it can be exacerbated by certain topical products, including cosmetics and steroids. Continuing treatment for perioral dermatitis under the guidance of a dermatologist is crucial.

Fungal Infection: Persistent fungal infections can also cause redness and irritation. Ensuring that the infection is fully treated is important.

Other Skin Conditions: There are other dermatological conditions that could cause similar symptoms, such as rosacea or seborrheic dermatitis.

Given that it's been over six months without improvement, I recommend scheduling an appointment with a board-certified dermatologist. They can provide a thorough evaluation and may suggest alternative treatments or further diagnostic tests to determine the exact cause of your symptoms.

Unfortunately, the answer is its possible. Perioral dermatitis can present like this. If it did not exist before the lip filler and than started after, it is possible to attribute it to the lip filler. At the 6 mo point there is little lip filler left to dissolve if it was an HA filler. Sometimes a vascular laser can help resolve the redness depending on the underlying cause.