How to even out my lips from a bad filler job?? (photos)

Question

I had one bad lip filler experience from a Dr. who came highly recommended for my 31st birthday. Since that time I have had two separate visits with two different highly certified Doctors whom both were unable to fix the problem. My last correctional visit actually made it more pronounced. My smile line dips down on one side and the other goes up in an almost a duck like curve. My bank account in draining with each new attempt, but not as fast as my confidence. Help please.

Robert M. Tornambe, MD · Answer

I get it, but I need more information. What was injected and then what was injected to fix it? How long has this been going on? You do have options, but physical exam optimal. Come see me or another board certified plastic surgeon in your area. Best of luck!

Sheryl D. Clark, MD, FAAD · Answer

Dear KeKeith:To answer your very good question intelligently, one would need to see the before photos and look at your treatment records.  Is it possible you also had some Botox treatment?  Releasing the depressor angulare oris muscle on the left side of the photo (your right side) may allow the corners of the mouth to lift a bit on both sides, making your smile more symmetric. If you had Botox it may be that this was attempted but did not take well on both sides. If you did not, it may be something inherent to your face that could be improved.  Keeping the filler in the central areas of the lips when injecting can help as well.  It is possible that if it was injected throughout the lip, some hyaluronidase injected laterally may help you.I would always encourage patients to first return to the person who treated you originally if there are any questions or problems, to hear an opinion as to what is going on and how to improve the outcome from the person who knows best what you looked like before and what the treatment was.  All the best,Dr. Clark

Alim R. Devani, MD, FRCPC · Answer

Thanks for your question. This is a question that we
get asked often by our patients as we get referrals from other centres for complications for filler injections. I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done with
a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary if the bump is from the filler material
itself. Get Arnica gel if you can find some and apply a few times a day as well
to help treat any swelling. Avoid any blood thinners. Bruising can also last
1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks
until the swelling has resolved. If it is persistent or you are worried, set up
a follow up appointment with your dermatologist.

If your past the 2 weeks, then it is a good idea to dissolve the filler with hyaluronidase and leave the lips alone for 6-12 months and then reevaluate.

Somyos Kunachak, MD - Account Suspended · Answer

Hi KeKeith,Since I do not have your full pre-treatment history, I will base my opinion solely for the available photos. Based from the photos alone, you have asymmetry of the chin and cheek and I assume, you also have asymmetry of the upper lip to begin with. There are some lip anatomy that are actually not good candidates for filler injection, particularly lips that have hidden red lip that is pointing downward. Fillers most of the time make this kind of lip look longer horizontally. I am assuming this is the case for the left side of  your lip (left side on the photo), that's why filler was not able to improve it but rather, worsen it to your observation.If you do not have the asymmetry to begin with, and your current condition is merely caused by fillers, you can just wait for the filler to dissolve or have an injection of Hyaluronidase if you used HA based fillers.

How to even out my lips from a bad filler job?? (photos)

Answers (4)

Answer: Evening Out the Lips

Answer: Evening Out the Lips

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Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

How to even out my lips from a bad filler job?? (photos)

Answers (4)

Answer: Evening Out the Lips

Answer: Evening Out the Lips

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.