Should I try to dissolve my lip filler or let it dissolve on my own? (Photo)

Hi @Ak12345li! Your top lip does look overfilled with filler migration above the vermillion border. You can request that your injector only injects Hyaluronidase in the area that is bothering you. Best of luck to you!

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

You are correct that there is a possibility of hyaluronidase when used to dissolve unwanted HA filler can affect adjacent tissue. If you search the archives of RealSelf.com, you will find that I have written about this many times over the years. However, the use of microdroplet amounts of hyaluronidase can reduce this risk considerably. And, if you restrict its use to only certain areas that particularly disturb you, the risk is even less. Just make sure that you consult an experienced board certified, cosmetic dermatologist and best of luck.

Thank you for your question and posting appropriate pictures. You should only have hyaluronidase injected in the area that is bothering you. Small amount of Vitrase can be injected to give you a good result while the remainder naturally dissolves. We only recommend full resolution in patients that want to start with a clean slate for reshaping.

Yes in micro doses of HA dissolver over multiple sessions. I usually charge $500/session. But best to contact the injecting MD you plan to use and find out the fees.