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Why do my lip fillers migrate to the middle of my top lip?

SMHugMar 12, 2016
I had lip fillers (either Juvaderm or Resatylane, not sure which) a couple of weeks ago and all the product settled in the middle of my top lip, there were also somel lumps. I went back to my injector and had them massaged out which looked much better, a couple of days after I went again after feeling a few lumps again. This is still happening and It looks to be settling in the middle. Should I massage them? Will it always do this and how can I avoid for next time I get fillers?

Answers (3)

From board-certified doctors and trusted medical professionals
Steven J. Rottman, MD, FACS profile photo
Dr. Steven J. Rottman, MD, FACS
Board Certified Plastic Surgeon
5.0 | 184 Reviews
Answered on Mar 20, 2016
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Dr. Jill C. Fichtel, MD
Dermatologic Surgeon, Board Certified in Dermatology
Answered on Mar 14, 2016
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Dr. Melvin Elson, MD
Board Certified Dermatologist
Answered on Mar 14, 2016
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Monika Soni, MD

Thank you for your question and photo. It is common to have swelling after Restylane injections which can take up 2 weeks to resolve. If you are unhappy with your results, you can have the filler dissolved with an enzyme known as hyaluronidase. I recommend having a follow up with your injector...

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Amiya Prasad, MD - Account Suspended

Thank you for your question. I understand you had too much Restylane placed in one of your tear troughs, however you don’t want to get hyaluronidase, as you’d rather see if you can massage it to get the material to absorb more quickly. You also state that you may add more Restylane in cer...

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Kyle Coleman, MD

Swelling can be normal after injections of the tear trough.  This can be most prominent for the first few days.  However, if too much volume is injected, it may compress the drainage of the area leading to increased malar bags like you are experiencing.  At 8 days, this may still subside.  You...

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Abha Gupta, MBChB, FRCOphth

Hello Many thanks for your questions. Typically 0.5 mls is on the smaller side for lips. It depends on the size of your lips and the result you want. With this amount the result will be subtle and more natural looking. You can always have more added after the swelling has reduced. The...

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Margaret Weiss, MD

As long as your Addison’s disease is under control, it should be fine to have Restylane lip injections. Be sure to always visit a board-certified dermatologist for filler, and make sure to tell them your medical history. You may want to clear the injections with your endocrinologist to be on t...

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Michele S. Green, MD

The best way to reduce the Restylane is to have Hyaluronidase injected into this area under the eyes.  I have never heard nor is it possible to squeeze it out.  Please consult an experienced board certified dermatologist with experience with cosmetic injections.  Best, Dr. Geen

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