Lines after filler dissolving and refilling (Photo)

Question

I've developed lines around my mouth after two sessions of lip filler dissolving and refilling. I've never had lines from filler before. Will these fade once the filler fully settles? I look like I gave a band around my mouth.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and your concern. It's understandable that you're worried, especially since this is a new change that you didn't experience with previous filler treatments.

In many cases, the appearance of lines around the mouth can improve as the filler settles, particularly if you're still in the early healing period. Swelling, temporary changes in tissue support, and the way the filler integrates with the surrounding tissues can all make fine lines appear more noticeable for the first couple of weeks.

That said, there are a few possible reasons why you're seeing these lines now. Dissolving filler with hyaluronidase can temporarily reduce volume not only from the filler itself but also from surrounding tissue hydration. If the lips were then refilled shortly afterward, the tissues may still be adjusting. Additionally, if the new filler was placed differently than in previous treatments, or if there is still mild swelling, it can temporarily change how the skin around the mouth folds with movement.

It's also worth remembering that filler enhances volume, but it doesn't completely prevent normal facial expressions. Sometimes, after repeated dissolving and refilling, patients become more aware of natural movement around the mouth that may not have been as noticeable before.

If your treatment was recent, I would generally recommend allowing at least two to four weeks for the filler to fully settle before judging the final result. During this time, swelling continues to improve, and the filler becomes more integrated with the surrounding tissues.

However, if the lines remain unchanged after the healing period, it would be reasonable to have them reassessed. Depending on the underlying cause, options might include a small filler adjustment, treatment of superficial perioral lines, or simply allowing additional time if the tissues are still recovering from the dissolving process.

The reassuring news is that what you're describing does not necessarily mean the result is permanent. It's quite common for the lips and surrounding tissues to look different during the healing phase after dissolving and refilling, and many patients notice a gradual improvement as everything settles. Patience during the first few weeks is often the best approach before considering any further treatment.

Lines after filler dissolving and refilling (Photo)

Answers (1)

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