Is it likely Lip Filler scar tissue that is in my lips and can hyaluronidase fix this? (photos)

In cases where an HA filler has been injected for lip augmentation, swelling and an overfilled, "sausage" or "duck" lip appearance can occur from overfilling lips with an appropriate HA filler/and or via using HA filler that absorbs a great deal of tissue fluid that leads to edema. In either case, hyaluronidase can be helpful for dissolving the unwanted filler. Besides silicone, Bellafill, another pemanent filler is available for use, and it is important to be sure that this product was not used in the lips. Permanent fillers work by causing tissue fibrosis and adverse reactions to permanent fillers are therefore much more difficult to treat. You would be wise to consult with an experienced, board certified cosmetic dermatologist and make every effort to ascertain the exact fillers that were used here. Best of luck. .

Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi, thank you for your question and posting appropriate pictures. This is either persistent filler or potentially some scar tissue around the filler. It is best to see you in person and examine for potentially removal with Vitrase if hyaluronic acid was used.

If you have not placed any permanent products into your lips, then they should go down over time. In some people hyaluronic acid can stay in the lips almost indefinitely because the body does not seem to break it down naturally. In other individuals the filler can disappear almost overnight. If you do not like the size or the shape of your lips, you can definitely have hyaluronidase used to dissolve some of the product. But if the size and the shape is not an issue, I would leave your lips alone as they will continue to get smaller over time. I hope this helps and would like from New York City plastic surgery

Hi there,
No that would not help scar tissue. It could be collagen that has been stimulated over time. It is best to just leave best alone and give it more time.

Best of luck!