Should I be worried about white bottom lip after years of filler? (Photo)

Question

My bottom lip seems to be discoloured, it’s white in some areas circled by the picture. I’m not sure why this is but I’ve been getting my lips done for a few years now. When this picture was taken I hadn’t had lip fillers in 4 months. Is it tissue damage? Should I be worried? I don’t want to dissolve my lips.

Raffy Karamanoukian, MD, FACS · Answer

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Jason Emer, MD · Answer

i would reverse the fillers and put in different softer ones. also start hydration and plumping daily to bring the pinkness back or medical tattooing (see link to emeragecosmetics.com where we do free skincare consults daily).  Best, Dr. Emer.send

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thanks for your question. Yes this looks like superficial filler so my advice would be to dissolve the filler and start again- this should rectify your problem. Please always seek a qualified and experienced practitioner, Best wishes

Should I be worried about white bottom lip after years of filler? (Photo)

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