What Is The Injection Depth of Restylane at the Lips? 3 Months Later I Still Have Vertical Lines.

Hi @jlosc. The filler must have been placed too superficially. I recommend dissolving the product with Hyaluronidase. Best of luck, Dr. Nima!

Restylane is used to fill or plump up lips - and help with the surrounding lip lines, IF injected correctly into the vermillion border. You shouldn't really have lumps, but a smooth plane of product. Following up with your provider should provide you with some massage and/or additional product to help reduce the lines.

This depends on what you want to accomplish.The vertical lines usually lower dermis and if you want to augment the soft tissue then in a plane just below the dermis.

Sometimes restylane is used for vertical lip lines.  This has to be done very carefully.  If too superficial it may need to be dissolved.

Restylane is supposed to be injected into the mid dermis.  If it is injected too superficial, then you can see lines in the area.  The good news is this can be erased with hyaluronidase.  Hyaluronidase dissolves the restylane and once gone can be re-injected into the right area.  Dr. Halem

It is hard to say precisely where a material is placed, as it depends on a number of factors. Ideally, it would be placed in the middle of the skin so as to improve your lines. Lumps or bumps, while vexing, will eventually disappear. Hyaluronidase can help them go more quickly. However, your first resource is always the physician who placed the material for you.

It is unfortunate that you had a side effect with Restylane. This is a a popular filler used around the lips intra--dermally. So it is injected into the middle layer of the skin called dermis. If the appropriate amount of the filler is used and injected into a correct  skin layer, then resulting complications such as lumps and bumps are very rare. Therefore, if you are seeing these problems, please see your practitioner. There are ways to reverse some of these issues with hyaluronidase injections. Take care and good luck.

 

  Restylane and Juvederm are thin fillers meant to be injected intra-dermally or in the dermis of the skin itself.  Dilute Botox, Dysport or Xeomin is more effective, IMHO, for reducing vertical lines around the mouth.  I have used neurotoxins for this purpose for over 15 years with great results.  

Botox works great on the vertical lines that occur from normal talking and pursing the lips. A dermal filler such as restylane can enhance the shape and volume of the lips but is not great for the small vertical lip lines and injection in this area frequently can cause bumps.

Hyaluronic acid fillers such as Restylane or Juvederm are injected into the skin at the level of the mid to deep dermis. Superficial injections are avoided to prevent visible white, yellow, or blue bumps. Blanching, dimpling, or the raising of the skin in the area of the injection indicates that the injection was too superficial. Deeper injections result in less than optimal correction of the area. . Since every face is different, the experience and technique of your physician injector is the most critical part to your achieving a beautiful, natural result. The video link below shows me injecting my wife’s lips with Restylane!