Lip filler still there 4 years on - does it need to be dissolved? (Photo)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. If you still see noticeable filler in your top lip nearly four years after your last injection, it’s possible that some of it has migrated or simply not broken down completely. While some hyaluronic acid fillers can gradually diminish over time, significant migration or lasting volume may require intervention. If you're unhappy with the appearance and feel that the filler is not settling naturally, dissolving it with hyaluronidase is a viable option. This enzyme effectively breaks down hyaluronic acid fillers and can help restore a more natural lip shape. I hope this helps and best of luck!

Hi

overtime the body metabolizes the product and it usually will just break down. For some people, they do need to go through the dissolving process. If that is bothering you, I would recommend seeing an injector to dissolve the remaining product so it doesn't migrate further.

Thank you for your question and for providing context regarding your lip filler history.

If you're still noticing volume or shape changes in your lips more than four years after your last injection, it is highly likely that some of the filler has either migrated or become encapsulated in tissue—this is not uncommon, especially with repeated treatments over time.

Filler can remain for several years for some patients. You can continue to allow the body to metabolize it naturally or you can have it injected with hyaluronidase to dissolve it. See an expert injector for an evaluation.

Hi!
This is a great question! Lip filler migration commonly occurs when the lips are injected improperly, or when the incorrect filler type is used. From the photo you provided, it does seem that there may be some migration. This can either dissolve over time, and you can help it along with gentle massage twice per day, or it can be dissolved with hyaluronidase in office.
As always, an in person, in depth consultation is required to address the areas of concern and formulate the best treatment plan for you.
Best,Eleni SgantzosBoard-Certified Dermatology PA