Can lip filler be moved in the lip afterwards? (photos)

Question

I’ve had lip fillers 5 times now (1ml each time, completes over the past 18 months) and the filler on my top lip sits above my lip line. Is there a way to have this fixed without having the filler dissolved?

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  There is no way to move the filler at this point.  To reduce the filler that is above your lip line, your only option is to dissolve it with hyaluronidase.  I suggest waiting longer in between treatments so as not to overfill your lips' capacity which forces filler to move outside the lip line. Best of luck.

Sach Mohan, MBBS · Answer

Hello Emma, 
It would depend on how long the filler has been there. I would advise you see your treating practitioner and see if they can massage the filler back into the lip. Having said that, your top lip is looking either swollen or overfilled. It may be that the only way to correct this is to have is dissolved (providing it is hyaluronic acid). 
I hope this helps. 
All the best

Robert M. Tornambe, MD · Answer

Emma.  Unfortunately, it is not possible to move the filler into your lips from the upper poles. That filter needs to be dissolved with Hyaluronidase. However, There seems to be large amount of filler in the upper part of your upper lip and there is concern about placement of the filler in the correct location in first place. Be certain to consult with a board-certified plastic surgeon or dermatologist. Good luck.

Christopher R. Macdonald, FRCS(Plast) · Answer

Hi Emma,
Thank you for the question and photo. 
Yes, you seem to have a significant amount of filler above and beyond your upper lip. The only way to treat this is to dissolve that filler away. 
This can be avoided by the correct choice of filler and proper technique. I would consider seeing an experienced local practitioner for assessment and to see what could be done to avoid this in the future. 
Good luck!
Dr Chris Macdonald
CRM Aesthetics

Ariel Ostad, MD · Answer

Hello and thank you for your question! It is best to wait 2 weeks after your treatment to see full results, and allow for swelling to subside. If after this point, you are not satisfied with your results, see your board certified provider to see about having hyaluronidase injections to dissolve the areas in which you are not satisfied. Thank you and best of luck to you!

Josie L. Tenore, MD · Answer

I'm sorry that this is happening to you. The answer lies in how long ago the product was placed. But the front-face photo it looks like the injection may have been done within 72 hours. If this is the case, it can be manipulated and ice the area off and on for at least another 1-2 days to help the swelling resolve.
If it is much after 72 hours, the balance of the upper and lower lip is not a natural balance. Naturally full lips - the upper lip is smaller than the lower lip. So, If you want to look natural yet full, then I would have the filler dissolved with hyaluronic acid. When I use hyaluronic acid - I do just a tiny bit at a time, that way I may be able to remove the filler that we don't want, and save the filler than you do want.
I hope this was helpful.

Ryan Welter, MD · Answer

Thank you for your question and photograph.  The best way to remove hyaluronic acid filler such as Juvederm and Restylane is by injection of hyaluronidase to dissolve the product.  The other option is to allow the filler to dissolve over time naturally.  Best of luck.

Michael Krathen, MD · Answer

Hyaluronic acid (HA) based fillers are moveable in the lip after injection, especially within the first 48 hours after treatment. Over the course of 1-2 weeks the HA fillers absorb water and are less moldable. Best, Dr. Krathen

Norman Gonzales, MD · Answer

Due to the nature of filler, it is possible to migrate slightly outside of the injection area.  Though I find it typically is incorrectly placed filler.   From you photo, I feel you need to dissolve the filler with hyaluronidase and start fresh.   It appears the filler may have been placed incorrectly and possibly too generous in the upper lip.   Please see a qualified injector for further evaluation.  Good Luck.
Dr. G.

Patricia Faraz, MD · Answer

The product can migrate to other areas immediately after being injected and while the area is healing. Your only option is to have the product dissolved with hyaluronidase. A small amount can be injected above the lip line to dissolve the product that has migrated.Best to you,

Can lip filler be moved in the lip afterwards? (photos)

Answers (10)

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