Lip filler in 2019 - do my lips look uneven & migrating? (Photos)

Question

I had quite a bit of filler still left on my lips from 2019 and I've noticed now that although my lips still look the same volume wise, they look uneven and I'm not sure if they're migrating as well. Curious if it can be fixed it's more filler or it's something I'd have to get dissolved and re-done.

Raffy Karamanoukian, MD, FACS · Answer

Hyaluronidase enzyme continues to be an excellent option for patients with fillers that need to be dissolved. Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss. If the filler is not dissolving, we may consider stronger concentrations or surgery.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photo. Since your lips are still quite full, your should consider dissolving the product and starting from scratch. My concern is that by adding more filler your lips will appear too big. See an experienced injector for consultation and proper guidance. Good luck!

Daniel Barrett, MD · Answer

Dear Bright626106,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis becausee I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Darryl J. Blinski, MD · Answer

Multiple sessions are needed. Start with HA dissolving sessions until you are happy. Then start filler sessions. Expect at least 4-6 weeks to achieve acceptable results. Fees from $10,000+

Lip filler in 2019 - do my lips look uneven & migrating? (Photos)

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Answer: Lip filler in 2019 - do my lips look uneven & migrating?

Answer: Lip filler in 2019 - do my lips look uneven & migrating?

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Lip filler in 2019 - do my lips look uneven & migrating? (Photos)

Answers (4)

Answer: Lip filler in 2019 - do my lips look uneven & migrating?

Answer: Lip filler in 2019 - do my lips look uneven & migrating?

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Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.