Vertical crease remains 3 months after dissolving lip filler - how to make it go away? (photos)

Question

Had lip and nasolabial line HA filler done. Woke up to this new vertical crease above my lip. We waited a month and then dissolved the filler, but after 3 months the crease remains. What caused this crease? Any idea how to make it go away?

Camille Cash, MD · Answer

It may be that you still have residual filler causing the crease.  You can consider other treatments which address skin tone and texture such as microneedling.  See your injector for an evaluation and to discuss options.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear that you experienced a new crease above your lip after getting lip and nasolabial line fillers. It's possible that the crease was caused by the filler migration or a reaction to the filler itself. It's also possible that the crease was present before the filler injection, but was less noticeable.

Although dissolving the filler was a good first step, it's possible that the crease may not go away completely on its own. However, there are a few options you can consider to help improve the appearance of the crease:

Hyaluronic acid filler: If you are still interested in filler injections, a hyaluronic acid filler can be injected directly into the crease to fill it in and smooth it out.
Laser resurfacing: Laser resurfacing can be used to remove the top layers of skin and stimulate collagen production, which can help to improve the appearance of fine lines and creases.
Microneedling: Microneedling involves using small needles to create tiny punctures in the skin, which can stimulate collagen production and improve the texture of the skin.
Botox: Botox injections can be used to relax the muscles around the crease, which can help to reduce the appearance of the crease.
It's important to consult with a board-certified dermatologist or plastic surgeon who has experience with filler complications to determine the best treatment option for you. They can evaluate your specific situation and recommend the most appropriate course of action.

Best of luck !

Mats Hagstrom, MD (license on probation) · Answer

Some patients will have long-term changes from the use of fillers. Nobody knows exactly what the cause is but based on time and the use of reversal agents, it is not based on the presence of filler.
Long-term changes that can happen from the use of fillers, and most likely due to inflammation in Square tissu formation. This is more likely if there are increased trauma associated with the injections, such as individuals who had more extensive bleeding and bruising.
We don’t really know what the underlying causes, but it happens occasionally in some people. There’s no treatment other than potential of manipulation with further work using fillers.
All medical treatments have some inherent risk and this includes the use of temporary fillers.
Best,
Mats Hagstrom, MD

Vertical crease remains 3 months after dissolving lip filler - how to make it go away? (photos)

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Everything you need to know about Lip Fillers

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Vertical crease remains 3 months after dissolving lip filler - how to make it go away? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Lip Fillers

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