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

Question

I got half a syringe of restylane kysse and went back 2 months later for half of restylane contour. I feel like my lips look worse and smaller from when I went in. I’ve had people tell me my lips look smaller but I want a Dr. to give me advice on if I should reach out to the np that did the injections to have her look.

Eric M. Joseph, MD · Answer

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

Anna Chacon, MD, FAAD · Answer

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.

Camille Cash, MD · Answer

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.

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

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