Can this shelf be fixed after Botox lip flip and filler? (Photos)

Question

I have a large tubercle (upper lip) and after a Botox lip flip and filler, my top lip looks like a shelf! Can it be fixed? Help! 1 syringe of Volbella and 4 units Botox to “flip” on board

Brian S. Biesman, MD · Answer

Thank you for your question.  There are 2 ways to work around lip fillers.  One is to dissolve them and the other is to work around them and help them blend more elegantly into the perioral region.  In your case blending the white upper lip transition to the pink  would likely be very successful.  This needs to be done by someone with a tremendous amount experience injecting.  Best of luck.

Martin Jugenburg, MD · Answer

Hi. The initial swelling will subside within 2 weeks. If you are still concerned with the look, a follow up appointment with your injector is recommended. Hyaluronidase can easily dissolve excess fillers.

Jonathan Kulbersh, MD · Answer

This is most likely due to your filler, but there may be initial swelling. If it is after two weeks, you can have the filler dissolved with hyaluronidase. Hope this helps.

Rupert Critchley, MD, MRCGP · Answer

Hi there I would expect this appearance to soften over time so would hold out. If still not satisfied book another appointment with the injector to discuss the consideration reversing this.Best wishes,Dr Rupert

Ron Shelton, MD · Answer

You should see the doctor who injected you to determine which caused the unsatisfactory result with which you're unhappy. Is it the Botox or the filler. If your doctor feels it was the filler then it can be dissolved with an enzyme, hyaluronidase. If it is the Botox, then nothing but time will help. In three months to four, the latest, the Botox effect will be gone.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Thomas J. Walker, MD, FACS · Answer

If you are unhappy with the Volbella, the good news is that Volbella is a hyaluronic acid filler and can be completely dissolved through the injection of hyalurinodase. However, I typically recommend to wait for at least 2 weeks prior to making such a decision as there typically is some swelling. I suggest you follow-up with you injector and discuss your concerns with him or her. Best wishes,Thomas Walker, MD, FACS

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  You did not mention the timing since treatment so if within two weeks I would recommend pursuing measures to help with tissue swelling, namely cold compresses, arnica/bromelain, and sleeping with your head elevated.  If it has been longer than two weeks and you are seeing little improvement then the only option would be to dissolve your filler or wait out the three-four months for the Botox to wear off.  Hope this helps.

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have the filler reversed with hyaluronidase and try a different technique next time. Botox can be softened with venus legacy. See an expert. Best, Dr. Emer

Monika Soni, MD · Answer

If you're unhappy with your final results, you can have the filler reversed with hyaluronidase and try a different technique next time. Botox can be softened with venus legacy. See an expert.

Asaf Yalif, MD, FACS · Answer

As noted below the result, if early, will likely change as the swelling diminishes. That being said if you are still unhappy - hyaluronidase can dissolve/remove the volbella and the botox will lose it's effect over 2-3 months.

Can this shelf be fixed after Botox lip flip and filler? (Photos)

Answers (17)

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