Hard lip line border after filler, does it need to be dissolved?

Question

I received lip filler more than two weeks ago and my top lip border is really hard. Should I get it dissolved or will this go away on its own?

Elham Jafari, MD · Answer

Hi and thank you for your question! Since it's already 2 weeks since your filler treatment, all residual swelling is expected to have fully resolved and if you are concerned with the look of it, it's time to do a follow up with your doctor and he/she will be able to do an assessment and if needed, resolve some of the filler for a more uniform look. I hope it helps and good luck!

Daniel Barrett, MD · Answer

Dear booksandtea,it is hard to tell without an examination. I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Maurice M. Vick, Jr., MD · Answer

Go back to your injector for evaluation. Hyaluronic Acid filllers can be removed with Hyaluronidase if they bother you. You might benefit from waiting another week or two to see if it softens. Next time use Volbella as your filler. It is very soft and natural feeling. Best Wishes, Maurice Vick MD

Faraz Valaie, MD · Answer

Hi,Thanks for the question!Sorry to hear that there are some issues. I probably could help more, if I knew a bit more, are they also painful and inflamed or just hard? Is the border all along hard or just some areas? Any photos by any chance? Having that said, I would suggest to contact your physician and have him/her to check you out and based on the cause, solution should not be that hard.Hope this helps!

Shaun Patel, MD · Answer

It's hard to tell without seeing a photo or evaluating your lips in person. I recommend you followup with your injector to discuss your results and concerns. Hyaluronic acid based fillers like Restylane and Juvederm can be reversed with hyaluronidase if need be.

Gregg Kennedy, MD · Answer

Thanks for this probing question. The best person to answer this question is the injector who placed the filler, of course, but in the end you must decide if you prefer the filled or the unfilled lips.  Lines and bumps always go away as the filler disappears, but all the enhancements of filler can go away in a day or two if the filler is dissolved. Best to you, Dr. Kennedy

Chad Pfefer, MD · Answer

Thank you for the question Booksandtea.  I recommend waiting at least 2 weeks before a final determination can be made with regard to facial fillers.  From your question it sounds like you have and as other providers have stated it's best that you get back in to the provider that did your filler treatment so they can reexamine you and make recommendations regarding dissolving the filler.  I recommend that you always see someone with experience and the appropriate credentials.

David Jensen, DO · Answer

I would wait another week or two, many times it is swelling from being injected and the lips will soften. It also depends on what fillers was used, some are softer than others. Hyaluronidase can remove the product very quickly, but it does have a tendency to bruise and sting. Again, I would be patient and wait a little longer.

Hardik Doshi, MD, FACS · Answer

Books,Two weeks is generally around the time filler in the lips should settle. If there is persistent hardness or discomfort, massaging the region is sometimes recommended or can be setback with a filler dissolving agent (hyaluronidase.) Speaking to your injector or an expert in filler placement is recommended.
Best of luck!Hardik Doshi, M.D.

Hard lip line border after filler, does it need to be dissolved?

Answers (13)

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