How much hyaluronidase is normal for one lip? (Photo)

Question

I decided to get my whole upper lip dissolved because was there was some migration, it was projecting, and slightly overfilled. In the past, I've used juvederm xc in small amounts in my lips. I most recently used one of the softer fillers. I've been injected with 3 full vials of hylenex. The size decreased, but I still have some nodules left. Does seems like an excessive amount to still have anything left? I'm wondering if I need to find a new injector.

Jon E. Mendelsohn, MD, FACS · Answer

Hi, thank you for the question and photos. Lip filler may take multiple vials to dissolve, depending on the type of filler and how it was placed. Additionally, the tissue may not completely return to its "pre-filled" state as the lip tissue has stretched to accommodate the filler. If you are still feeling lumps of filler after dissolving, it may require more directed dissolution. Some providers offer dissolving with ultrasound guidance, in order to directly target & dissolve the residual filler. Hope that helps!

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