Lip filler above lip: migration or incorrectly placed? I hate my smile. What can be done? (Photo)

Question

I had to have lipfiller dissolved in upper lip. Terribly placed but still looks like there's some nice upper lip. I hate my smile now. What you see? Is it filler? What can be done??

Robert M. Tornambe, MD · Answer

SarahI am sorry you are having these issues, however if you still feel that there is filler that is causing problems it can be further dissolved and then filler can be replaced in a better position to provide a more natural result. From your photograph, it appears that you have a pretty smile and physical examination would be needed to further evaluate your particular needs. Be certain to consult with a board-certified plastic surgeon in our area to explore the best options for you. Good luck.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  You could pursue additional dissolving of product along the pale upper lip skin or along the vermillion border to restore a more natural look.  Hope this helps.

Teresa Camden, MD · Answer

If you have already had the filler dissolved, I would recommend seeing another injector for a second evaluation and opinion. Based on your pictures, it looks like some filler has either migrated beyond the border of the lip or was incorrectly placed there. I would recommend completely dissolving any remaining filler with an experienced injector and then, if you desire, rebuilding the lip (I use fillers such as Belotero, Juvederm, and Kysse for this area). Start slowly with 1/2 or 1 syringe per visit to avoid overfilling - as you now know, it's easy to add, but difficult to take away.

Sheryl D. Clark, MD, FAAD · Answer

Dear sarah1800:I am so sorry you are having this problem. It looks as though the filler was placed too deeply at the vermillion border, allowing it to move above the junction of the pink with the white lip. It can easily be dissolved, allowing you to maintain the augmentation where it compliments your pretty lips but reducing it where it is not needed. I hope this is helpful to you!Sheryl Clark MD FAAD

Lip filler above lip: migration or incorrectly placed? I hate my smile. What can be done? (Photo)

Answers (4)

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