Botched lip filler, should I dissolve again?

Question

I got 0.5ml lip filler for the first time and got left with a filler moustache/migration so I dissolved it. I waited 4 weeks and got 0.5ml again with a new lady who did it horribly. The filler feels too superficial and there are hard bumps (like small beads) that hurt to massage. I want to dissolve it again and re fill but I’m worried about too much trauma to the lip as the procedures have been back to back. What should I do? All I wanted was slightly plumped natural lips

Raffy Karamanoukian, MD, FACS · Answer

I use a multi-level approach to hylenex injections so as to minimize debulking the lip too much. The enzyme should be done over a few sessions and most of all, conservatively.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Leslie Pickens, MD · Answer

If it has been a month or more and lumps are still present.  You could get it dissolved again.  Try Belotero which will give a subtle result and blends easily without migration, so it is more forgiving and softer.  It may not last as long as some of the other hyaluronic acid fillers, but you can see if you like having your lips filled as a novice and add more later.

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