How to fix duck face? (philtrum enhancement maybe?)

Hello, i got juvaderm 1ml few months ago. The thing is, i got bigger lips but they appear duck like. As you can see, even from the front view my upper lip has this line above it. Is it because the shape of my lips and how small were they before or because of the bad injecting technique? I'm wondering would getting filler in philtrum help? And perhaps some filler in my chin under my lower lip (to make lips less "stick out")? Is that possible? Or do you reccomend some other method of fixing?

Doctor Answers 12

Duck lip fix

Placing filler elsewhere may prove to be a worthwhile distraction from your upper lip. Also, you're correct, an experienced injector may be able to help lengthen your entire upper lip by injecting the philtral columns. However, you may be better off with directly decreasing the size of your lip. This is readily accomplished by injecting hyaluronidase (a dissolving enzyme) directly into the previously filled site. This solution can be placed in very small amounts until the desired appearance is reached.  In my opinion, you have beautiful lip anatomy and deserve the look you wish. Best of luck.


Virginia Beach Plastic Surgeon
4.6 out of 5 stars 19 reviews

Hyaluronidase Can Dissolve Duck Lips (Trout Pout Lips) Resulting From Overfill or Poor Injection Technique

Unfortunately, as you already know from this disconcerting experience,  duck lips (aka the trout pout) resulting from filler injections are a giant no-no. In general, in frontal view, the upper lip volume should be approximately one-third of the total volume of the upper and lower lips together. In side view, the upper lip should protrude about 1-2 mm beyond the slight downward pout of the lower lip. Neither of these proportions appear to have been respected from what I can see in your photos. There is also too much white roll above the vermilion border (the border of the red body of the lip and the white skin above). I think it would be ill-advised to attempt to try to correct the duck lips by altering the anatomy surrounding it. It would be best to have the hyaluronic acid dissolved with hyaluronidase. Following that, you should seek consultation and treatment by a board certified aesthetic physician with expertise and experience in the proper use of fillers for nonsurgical lip augmentation, which is an advanced injection technique that should not be left to the hands of novice injectors accustomed to injecting simple Juvederm or Restylane into ordinary smile lines. By coincidence, I literally just finished a nonsurgical lip augmentation with filler right before answering this question. It took about five minutes to perform and the the results were immediate and gratifying. That's what you should look for, and make sure that you check the before and after photos of any physician you consult with before proceeding. Good luck to you.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.8 out of 5 stars 23 reviews

Ducky after filler

Duck lips may appear when too much filler is placed into the borders of the lips. Adding more filler to the philtrum will not help this situation. You can consider vitrase (hyaluronic acid) to dissolve the filler or just give it time and the filler will slowly dissolve.

Benjamin C. Paul, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Fixing duck lips

Luckily you had a hyaluronic acid gel filler.  That means a physician can use hyaluronidase (the enzyme that breaks down hyaluronic acid) to dissolve it.  Duck lips can result from injecting a lot of filler into the lips without any in the surrounding areas.  That leads to a 'ski slope' appearance or duck bill.  Instead filler can be used to provide natural transitions from the cheeks, chin, and nose to the lips.  I recommend you either return to your treating physician or find another who shares your aesthetic.  She can reduce the current filler with hyaluronidase -- the response begins immediately but dissolving juvederm can take quite a bit of hyaluronidase so expect some swelling.  A week or two later, she can reinject the area.I hope this answer was helpful. Best wishes!

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 9 reviews

Duck Lips and Fillers

I would definitely not add anymore to your lips. It might be best to dissolve it and start over. It needs to be injected into the pillows of the lips and not as much in the border. Please consult an expert at lip injections. Best, Dr. Green

Lip augmentation

Hello, and thanks for your question and photos. I'm sorry you did not get the result you had hoped for. This is the result of excessive product that has been poorly placed. I recommend having the filler dissolved with injection of an enzyme called hyaluronidase, after which you can see a new dermatologist or plastic surgeon and start from scratch. Best of luck, Dr. Frucht.  

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

How to fix duck face? (philtrum enhancement maybe?)

Hi Katarina, I would recommend that you dissolve a little filler from your lips. We can use a hyaluronidase to break down some of your juvederm. "Duck lips" occur when a doctor injects a lot of filler into lips without any into the surrounding areas.  Your lips look unnatural and this leads to dissatisfaction. This can be corrected and I would definitely recommend the next time around you go to a doctor with more experience filling lips. Good luck, Dr. Downie

Jeanine B. Downie, MD
Montclair Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

Juvederm Lips

It looks like too much filler was placed into the border of the lips.  That's why it looks "ducky".  It's best to get the filler dissolved and seek out a board certified plastic surgeon/dermatologist.

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 425 reviews

Duck Lips from Filler

Thank you for your question.  I recommend to avoid additional filler in the lips.  Juvederm can be dissolved with hyaluronidase injections.  If you would like to have a faster resolution of the appearance of your lips, I recommend seeing your physician for hyaluronidase injections.  I wish you the best!

Lisa Zaleski-Larsen, DO, FAAD
San Diego Dermatologist
5.0 out of 5 stars 6 reviews

Duck Lips from fillers

Thanks for your question.  I would not recommend any more filler. You may want to consider injections of hyaluronidase to dissolve some of what was already placed. This may restore the normal contours of your lips. Best of luck to you!

Alix J. Charles, MD
Hinsdale Dermatologic Surgeon
5.0 out of 5 stars 6 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.