Are my lips migrated? Does my upper lip/ border look worse after filler? (Photo)

If you feel like your lips look smaller, it may be a worthwhile venture to look at your before and after photos. Sometimes this can be very reassuring for people. I hope this helps. Sincerely, Dr Joseph

If you are concerned or unhappy with your results it's always good to discuss any issues with your injector. She/He may be able to pull up before/after photos of your treatment so you can more accurately pinpoint what you would like to change/address.

It's important to address your concerns about the appearance of your lips after filler injections. Here are some steps and considerations to help you decide on the best course of action:

1. **Evaluate Your Concerns:**
- **Visual Changes:** If you feel your lips look worse or smaller, take clear, high-quality before and after photos from similar angles and lighting to objectively compare the changes.
- **Symmetry and Shape:** Look for any signs of asymmetry, lumps, or migration (where the filler moves beyond the intended area).

2. **Symptoms to Monitor:**
- **Pain or Discomfort:** Any persistent pain, swelling, or unusual sensations should be documented.
- **Appearance:** Note any visible issues like unevenness, bumps, or changes in the border of your lips.

3. **Consultation with the Injector:**
- **Initial Discussion:** Since the injector is familiar with your treatment plan and the product used, it’s a good idea to reach out to the nurse practitioner (NP) who performed the injections. Explain your concerns and request a follow-up appointment to discuss and assess your lips.
- **Professional Evaluation:** The NP can evaluate the situation, provide professional insight, and suggest potential solutions such as minor adjustments, massages, or in some cases, dissolving the filler.

4. **Second Opinion:**
- **Dermatologist or Plastic Surgeon:** If you're not satisfied with the NP’s response or want another perspective, consider consulting a dermatologist or plastic surgeon experienced in cosmetic fillers. They can offer an unbiased evaluation and recommend appropriate actions.

5. **Potential Solutions:**
- **Adjustment:** Sometimes, a small amount of additional filler can correct asymmetry or enhance the shape.
- **Dissolving Filler:** If migration or an undesirable outcome is confirmed, hyaluronidase can be used to dissolve hyaluronic acid-based fillers like Restylane.

6. **Future Considerations:**
- **Injector Experience:** Ensure that your injector is highly experienced and qualified. Don’t hesitate to ask about their credentials and experience with lip fillers.
- **Clear Communication:** Before any future treatments, clearly communicate your desired outcomes and any concerns you may have.

Reaching out to the NP who performed your injections is a good first step. They can provide immediate feedback and address any issues. If needed, a second opinion from another qualified professional can help ensure you receive the best possible care and outcome.