Lip filler won't dissolve - advice? (photos)

Question

I had lip filler done for the first time recently and it went horribly. All the filler ended up above my lip even though I went to a well know and reputable place. We have tried to dissolve it 3 times now (we used an entire bottle twice and once used 2). For some reason I still have a lot of fullness above my lip and my lip (above the actual lip)now has a thick white line that doesn’t do away. I believe it’s still remaining filler while the injector doesn’t believe it is. Please see photos

Rita Rakus, MBBS · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case the dissolving agent hyaluronidase will get rid of HA filler in the tissues if injected in in enough quantity in the correct area. It's best to let this settle and in month see how it looks- you may find the opinion of another doctor helpful at this point to see if it is worth trying to dissolve again. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Kenneth D. Steinsapir, MD · Answer

The name of the filler you received would be helpful to know. Also, it would be helpful to know the total dose of hyaluronidase has been injected. For some injectors, a dose of hyaluronidase, the enzyme that breaks down the hyaluronic acid fillers, is just a dose that does not exceed 40 or 50 units. The amount of enzyme that is required very much depends on how runny the original filler was. The hyaluronic acid  Belotero that is used by some for lip edge treatment is extremely runny creating the lip shelf and even running to the bottom of the cheeks. Large doses of hyaluronidase are needed to clear these fillers. This could require a dose of 150 to 300 units of enzyme. In addition, the enzyme has to reach the filler for it to work. That means your injector needed to know what they are doing. More help would require a personal assessment.

Lip filler won't dissolve - advice? (photos)

Answers (2)

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Everything you need to know about Lip Fillers

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Lip filler won't dissolve - advice? (photos)

Answers (2)

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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.