Lip filler - how could this be improved? (Photos)

It sounds like you may be experiencing filler migration or uneven filler distribution, which can cause a “duck lip” appearance and imbalance between the upper and lower lips. I’d recommend consulting with a qualified aesthetic injector—sometimes dissolving and refilling the area can help restore natural proportions. Avoid additional filler until the cause is assessed in person.

From your photos and description, it sounds like you’re noticing what many patients describe as a “duck lip” effect — where the upper lip projects a bit too far forward or looks more pronounced in profile. This can happen when filler is placed too superficially or in excess in the upper lip, especially near the border or philtrum. The elongated appearance you mentioned is likely due to the filler subtly weighing down the top lip, which can make the philtrum (the space between the nose and lip) appear longer.

The good news is that this can almost always be improved. The first step is often dissolving some or all of the existing filler with hyaluronidase to restore your natural proportions. Once that’s done, we can reassess the lip’s balance and shape. Many patients are pleasantly surprised at how youthful and refined their lips look once the migrated or excessive filler is removed.

If you still wish to enhance your lips afterward, rebuilding with a very conservative, strategic filler placement — focusing more on the body of the lip rather than the border — can create a smoother, softer, and more natural curve. Sometimes, adding a touch of filler to the lower lip helps balance proportions and create harmony between the two lips.

You’ve done a great job noticing these subtleties — it takes a careful eye to see when balance is slightly off, and with a few adjustments, your results can look much more natural and symmetrical.