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it looks like it might have migrated a little bit but it's not too bad... given the issues with hylenex, I would avoid dissolving if you can avoid it and see what your body breaks down naturally vs if it really drives you crazy then dissolve away.
It appears the filler has migrated above the lip and has created a ridge like effect. I recommend you dissolve the filler. After you may be a candidate for an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.Best Wishes,Gary Horndeski, M.D.
It’s common for patients to worry about filler migration around the lips, since swelling and small irregularities can linger for weeks to months. True migration usually shows as filler sitting above the natural border of the lip, sometimes creating a ridge or “puffiness” under the skin. At 3 months, what you’re seeing is likely your settled result rather than swelling. If there is minor migration, it can be corrected — options include dissolving the filler with hyaluronidase or carefully reshaping with additional filler. The best next step is to have your injector (or another experienced provider) examine you in person to confirm whether it’s migration or just normal anatomy. The good news is that both situations are very treatable.I recommend an in-person consultation with a board-certified dermatologist or plastic surgeon to confirm the diagnosis and discuss the best treatment options for you.
From the submitted photos it does appear the lip filler has migrated. You can visit with your injector to dissolve it with hyaluronidase. If you do nothing it will slowly be metabolized by your body. I've included a video about fillers that I hope you find helpful.
Thank you for sharing your photos and your question. I understand your concern. It’s common to notice changes in philtrum length and lip volume as we age, and choosing treatment options can be tricky. In general, adding filler to the lips doesn’t necessarily make a long philtrum look worse. It ...
The area you marked is the cutaneous upper lip (white lip) and vermilion border. It’s normal that it looks like skin from the side—filler can’t turn skin into red lip. What filler can do: add 1–2 mm of projection and eversion by placing small amounts in the vermillion body (sub-...
The nodules may be due to filler migration. However, nodular granulomas and scar tissue formation are somewhat more likely in my opinion. For this kind of adverse reactions, I have had gratifying results in treating individuals who have come to me from elsewhere using an algorithm of varying...
It sounds like you’re dealing with long-standing complications from non-medical filler use, which can be complex. Unfortunately, many products sold online as “hyaluronic acid filler” aren’t true medical-grade HA and sometimes contain other or mixed substances that don’t respond fully to dissol...
Yes, there are non-filler options to improve the appearance of deep lip creases—especially in a young patient like yourself who is already practicing excellent hydration and barrier support. While dermal fillers are the most immediate solution for smoothing creases, there are several p...
Thank you for your message and for sharing the details of your experience. In cases where liquid silicone was previously injected into the lips, adding dermal filler can be considered, but it requires careful evaluation. Silicone is a permanent filler, and its presence can sometimes create...
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