How Can I Reduce the Lip Filler in my Lips?

Question

I got my lip done yesterday. my upper lip is way too bigger than my lower lip, I know there will be swollen going on for a while, but the swollen will go down by what percentage exactly? i dont look normal, what should I do?

Adam D. Stein, MD · Answer

I agree that you should wait about two weeks before deciding whether or not you have too much filler. If you have had Restylane, Perlane or Juvederm injected, a substance called Vitrase (Hyaluronidase) can be injected to dissolve the unwanted fullness. If you have had other types of fillers, it will depend on which type you have had as to when they will reabsorb and become less noticeable. Some fillers are even permanent. If you are unhappy with your results at 2 weeks, I would suggest discussing these issues with the physician who injected the filler.

Ravi Jain, MBBS · Answer

So it does depend on which products and technique were used as well as volume used and whether or not you have had any other fillers in the lip before. Generally speaking wait at least a week before you revisit your practitioner for a review and any adjustments performed.

Monika Soni, MD · Answer

Thank you for your question. It is normal to have some swelling 2 days after Hyaluronic acid fillers such as Juvederm and Restylane to the lips which can take up 2 weeks to fully resolve. To help reduce the swelling you can use cold compresses. Also, I recommend to avoid taking any NSAID’s before or after treatment as they tend to thin the blood leading to increasing swelling and bruising. As HA fillers are not permanent it can be dissolved with an enzyme known as hyaluronidase if you are unhappy with your results. Best of Luck!

Mark Taylor, MD · Answer

Wait a week to ten days before judging the final result. It appears that you have some swelling, which is expected. This will go down with about one week and then you can tell what you really have. If you are still concerned, go see your doctor.

Joseph A. Eviatar, MD, FACS · Answer

It is not possible to determine what percentage is swelling if you’ve had your lips done in the same day. Simply waiting is the most important thing when determining results. You need to wait for at least a minimum of a week and until the shape is no longer changing. These products do absorb water in the first 24-48 hours, so it will look like it’s over-corrected, and, in addition, there may be swelling or bruising just from having a needle placed into the tissue. Once all of the swelling and possible bruising has gone away, if the upper lip is disproportionate to the lower lip, either some of the product can be dissolved with hyaluronidase in the upper lip or additional product can be added to the lower lip to create symmetry.

Philip Young, MD · Answer

Yesterday is too early to do anything for it.  Sometimes you can get more swollen if you were on blood thinners before your injections. It is a good idea to stay off blood thinners for 2 weeks before and after your procedure for fillers or other procedures that can cause bleeding (surgeries!). Don't worry, you can always inject hyaluronidase to remove these fillers. Your doctor can help with that.  One common way of breaking up the balance in your lips is by making your upper lip bigger or close to the size of your lower lip.

	Thanks for reading, Dr Young

Chen Lee, MD · Answer

I would love to know the technique, material used for augmentation, the type of anesthesia, and volume of material placed. Assuming you have had an injectable filler for lip augmentation, swelling is very common and may last 1-2 weeks. One of the most common injectable fillers used to date is hyaluronic acid. If there remains assymetries secondary to hyaluronic acid, judicious localized injection of the enzyme hyaluronidase may help in its resolution.

Gregory Branham, MD · Answer

It is very common to have significant swelling after having the lips injected with any filler. Since you are early post treatment, you should ice them and wait two weeks prior to making a final determination if they need adjustment. You should have been informed of the swelling that would occur post-injection and should have been given instructions on how to deal with that. If the lip filler is a hyaluronic acid filler it will resorb over six to nine months. If you have significant asymmetries, the hyaluronic acid can be reduced with an injectable enzyme, hyaluronidase, that will break down the filler.

Peter A. Aldea, MD · Answer

Swelling may have a significant effect on the size of your lip. I would wait 10-14 days until your swelling has come down to normal or nearly normal levels. At that time you need to know
	- which filler was used
	- how much was placed in each lip
	if you are still unhappy with the volume and you had a hyaluronic filler (Restylane, Juvederm, Perlane) these may be dissolved by injecting the filled areas with Hyaluronidase. If you had a non- HA filler of which there are many, you will have to wait until the products dissolves by itself.

	Dr. Peter A Aldea

Michael Elam, MD (retired) · Answer

First and foremost to properly inform  you on options I would need to know the type of filler that was used. If  the filler is a hyaluronic filler it will dissipate in time three to six months. There is an option of having hyaluronidase injected to the sites to help dissolve the over filled area. If you were augmented with other fillers then it really depends on what was used and the technique. Keep in mind that you are only a few days into the recovery phase and I would make an informed decision with your surgeon after you wait at least a week to determine how much is swelling vs. actual injection material. Best regards!

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