How can I treat these lip creases? (Photo)

Question

Hi I went to a doctor for "russian lips" and these two hooks or creases are very noticeable - wondering how to fix it? them idea was that my upper lip would stretch up vertically and i thought my lips would end up flat rather than puffy. ,my lower lip is still sore too

Anna Chacon, MD, FAAD · Answer

I can understand why you're concerned, especially when the result isn't what you expected from a Russian lip technique. The vertical “hooks” or creases you're pointing out can occur after lip filler and may be related to swelling, the way the filler was placed, the amount of product, or the way the lip is folding around the filler. From a photo alone, I can't determine whether this is temporary swelling or a contour issue from the filler itself.
Russian lip techniques are intended to create more vertical height and definition rather than simply adding forward projection. However, the final appearance still depends heavily on the individual's anatomy and how the product was distributed. If the lip looks unusually puffy or develops prominent folds that weren't present before, I would not add more filler to try to flatten those creases. Additional filler could potentially make the fullness and folding more noticeable.
If the treatment was recent, some of what you're seeing may improve as the swelling settles. I would allow the lips to heal before making any corrective decision. If the creases remain once the swelling has resolved, the appropriate correction depends on what filler was used, how much was injected, and where it was placed. If it was a hyaluronic acid filler, carefully considered hyaluronidase can sometimes be used to reduce or correct unwanted product, but it should not be done automatically because dissolving too much can create volume loss or asymmetry.
The persistent soreness in your lower lip is also important. Mild tenderness can be expected after injections, but increasing pain, significant swelling, warmth, redness, discoloration, blanching/whitening of the skin, blistering, or a dusky/gray appearance would not be something to simply wait out and should be assessed promptly.
For now, I would avoid additional filler or aggressive massage/manipulation until the lips have settled and the area has been properly assessed. The goal should be to restore a natural lip shape rather than adding more volume to compensate for a contour created by the previous treatment.

Gary M. Horndeski, MD · Answer

You may benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Leonard Grossman, MD · Answer

The same individual who injected your lips can use the same product to get rid of those Vertical lines. I hope this helps a good luck from New York City Plastic Surgery.

How can I treat these lip creases? (Photo)

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