Lip filler correction after 18 months? (Photo)

Question

I had lip fillers over 18 months ago and I've never been 100% happy with the results. I noticed straight away they were uneven, and most of the filler was focused in the cupids bow of my lips (she used the Russian lips technique). This left a slightly odd shape, my top lip now dips in the middle and on the outer edges. However I am happy with the volume. The filler used was Starfill. If I wanted to get them corrected, would they need to be dissolved first? I'd prefer not to dissolve them.

Irena Kovacheva, MD · Answer

It is best to dissolve them completely,wait 2 weeks and do again filler.Correction on top of previous work might lead to more unsatisfactory results

Camille Cash, MD · Answer

Lip fillers typically last 6 to 12 months.  If HA fillers were used and there is any left hyaluronidase can be used to dissolve it.  I encourage you to visit with an experienced injector to discuss your concerns and treatments goals.

Sergio Verduzco Casillas, MD · Answer

Hello, thanks for your question. Regularly, after 18 months, the filler should be dissolved. Contact a board-certified physician in your area for a physical exam. After a year and a half, you can have a new treatment to get the results you want. Be sure to talk to your doctor about your goals and concerns. Good luck!

Peter Andolina, DO · Answer

Typically lip filler can last anywhere from 6-18 months depending on the filler used and on the patient. Starfill is quoted to last 12 months. You have a few options at this point. The first is to just get your lips filled again seeing as you are 18 months out from your prior treatment. I would recommend maybe going to see another provider or if you really like your previous injector you should talk to them about maybe changing their technique or product. Definitely let your injector/provider know your issues so that they can address them and try to give you the results you want. The other option is to get the filler dissolved if you think you still have residual filler in your lips that is causing the issue. Typically a patient needs to wait 2-4 weeks between dissolving filler and refilling their lips. By dissolving the filler you will be able to start with a completely clean slate instead of adding additional filler to any area that has already been filled. Hope this helps

Mats Hagstrom, MD (license on probation) · Answer

Star fill is an H a filler which is advertised to last between six and 12 months.
Most fillers do not last as long as the manufacturers claim.
Claims of longevity are based on when there’s no detectable result left.
This means patients can expect about half of the volume to be gone and half the amount of time the filler lasts.
For HA fillers most patients typically get repeat treatments of lips every six months to maintain a consistent look.
At 18 months it’s unlikely there is any lip filler left.
You should talk to your next provider and ask what their opinion is.
If there’s a current consistent volume issue that could conceivably related to persistent filler then reversing may be an option.
It’s highly unlikely at this point there’s any HA filler left in your lips so you really shouldn’t need it.
Best,
Mats Hagstrom MD

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case yes you could have some extra filler added at this point. Most of the filler will have disappeared by now. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!Starfill is a hyaluronic acid soft tissue filler which boasts a longer period of effectiveness of 12-18 months.I cannot determine the amount of residual filler present based upon 2 photographs. An examination is required. As you are 18 months out from your last treatment, I doubt if much filler remains. The result can be augmented at any time. Dissolution of previous filler is not necessary.Best wishes...

Lip filler correction after 18 months? (Photo)

Answers (7)

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