Can I get filler on top of silicone injections in my upper lip?

Thank you for your message and for sharing the details of your experience. In cases where liquid silicone was previously injected into the lips, adding dermal filler can be considered, but it requires careful evaluation.

Silicone is a permanent filler, and its presence can sometimes create challenges when layering additional fillers like hyaluronic acid. These include:

Risk of inflammation or uneven texture due to interaction between the old silicone and new filler.

Potential migration or lumpiness, especially if the silicone has shifted or formed granulomas over time.

Vascular compression risks if the tissue is altered or scarred from previous injections.

That said, in certain cases where the silicone has been stable and there are no signs of nodules or ongoing inflammation, adding filler to restore volume can be done cautiously. The goal would be to use small amounts of a reversible filler (such as hyaluronic acid) in very targeted areas to improve symmetry and volume without disturbing the underlying silicone.

It's important that any treatment be approached conservatively, with a provider experienced in working with previously augmented lips. A thorough assessment of the lip tissue—both visually and through palpation—is usually needed to make the safest recommendation.

I think you’ll find each provider will have their own view on this topic.
There’s no yes or no answer to your question.
I think the concerns would be if silicone gets contaminated you can end up with a difficult situation.
Considering the vitality of live tissue, I would guess that most likely you will not have any problems.
Finding a good injector can be a challenge create
Technique when it comes to lip fillers is what differentiates those who have obvious unnatural results versus those would just look great.
Good luck,
Mats Hagstrom MD