Radiesse for Lip Wrinkles?

Question

I have had Juvederm for Lip augmentation.  The thing I hate about it is the bruising that comes along with it.  I am very fair (Irish blue/white fair) and it takes up to two weeks for the bruises to go away.  I just don't have that much time to stay hidden until the marks go away.I am looking for something to just eliminate the wrinkles on the top of my lips.  I am, and always have been, quite fond of the natural shape of my lips.  Just hate the wrinkles.

Ron Shelton, MD · Answer

Fillers do help the lines, but all can cause bruising. Unfortunately, there is more bruising with hyaluronic acid fillers, such as Juvederm and Restylane, than the former collagen fillers. A new filler which is thinner than Evolence, a collagen from pigs, may soon be approved by the FDA and this may give you good results with less bruising than the hyaluronic acids. Taking Arnica montana, an herb, which can help minimize bruising, is recommended by some physicians and their patients who bruise easily can start it a day before the procedure and take it for the day of and a day after as well. Avoid aspirin, ibuprofen, advil, alleve, vitamin E, fish oil, garlic, ginseng, ginko biloba as these medicines and products contribute to more bruising. Aspirin should be avoided for up to two weeks prior to the procedure if possible, and a few days for the non-steroidal antiinflammatory agents such as advil, Avoid the herbs for one to two weeks prior to the procedure. Ice immediately after the procedure might lessen some bruising. Don&rsquo;t exercise that day or the day after if you are prone to bruising. Some people don&rsquo;t mind the bruising and don&rsquo;t need to stop their aspirin or exercise regimen. You, however, might find it helpful to do this. Laser resurfacing and a small dose of Botox could help the lip lines, but there is a risk of scarring with the former and drooping with the latter. Lines often come back despite the laser resurfacing although they might be better than they were before the procedure.

Michael A. Persky, MD · Answer

Hi Eliish,
Fractionated CO2 (either Fraxel re:pair or Deep FX) is a great treatment choice to treat your upper lip vertical lines.
Stay away from Radiesse in the lips as it has been reported to cause lumps and bumps in the lips that are difficult to treat.
Good luck and be well.
Dr. P

Nissan Pilest, MD · Answer

Radiesse is biocompatible dermal filler FDA approved to treat volume loss in the face and hands. If done by an unskilled injector it can leave patients with unpleasant lumps. Currently there is no antidote for Radiesse so we prefer using Hyaluronic-Acid based fillers, such as Juvederm XC.
Juvederm XC is an injectable Hyaluronic-Acid based filler that is ideal for soft tissue loss, such as the lips. Patients typically start with 1 syringe and return in 2 weeks if more volume is desired.

Jordana S. Gilman, MD · Answer

Radiesse is a thicker filler and is not to be used in the lips or near the lip line.  If it is injected in this area there is a risk that there can be hard lumps or visible white bumps.  Radiesse is a very nice filler for providing volume to other areas of the face.
Any injection carries with it a risk of bruising.  You may have heard that one filler has less bruising than another but in reality that is not true.  All fillers have the same risk of bruising.  Fair skinned people tend to bruise more easily, and it can take 2 weeks for bruising to go away completely.  Do not take any aspirin, ibuprofen or vitamins that are not medically necessary for 2 weeks prior to your treatment.  This will minimize your chances of bruising.
For the vertical lines along the upper lip, you may need Restylane or Juvederm or collagen.  The choice is determined based on the thickness and position of the wrinkles.  Sometimes fillers are not the appropriate treatment for these lines, and we also use laser resurfacing or Botox to help reduce their appearance.

Bryan K. Chen, MD · Answer

I would consider a resurfacing procedure (laser or chemical)to address the fine lines around the mouth.  There is, however, some down-time associated with such a procedure (approximately 7 days).  The procedure would be even more effective if you were to have a few units of Botox injected to the lip 2-4 weeks prior to your resurfacing procedure.  Good luck.

Radiesse for Lip Wrinkles?

Answers (9)

Answer: Radiesse is for deeper injestion

Answer: Radiesse is for deeper injestion

Answer: Wrinkles of the upper lip

Answer: Wrinkles of the upper lip

Recommended reading

Everything you need to know about Radiesse

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

Radiesse for Lip Wrinkles?

Answers (9)

Answer: Radiesse is for deeper injestion

Answer: Radiesse is for deeper injestion

Answer: Wrinkles of the upper lip

Answer: Wrinkles of the upper lip

Browse related questions

Recommended reading

Everything you need to know about Radiesse

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