Restylane Has Permanently Deformed my Lips? (photo)

Restylene is one of the older fillers we have on the market. it is also one of the most widely used fillers. I see the lip deformity you have as compared to your "before" pic. I have taken care of this type of Restylene deformities before and surprisingly one of them was also on the upper lip. in my experience it took more than 1 attempt to dissolve the filler. u might have to go back and get it dissolved again until it is better. the longer you wait the more difficult it gets to dissolve the filler 

Hello, and sorry to hear about the issue you are experiencing. In general, a lip augmentation with Restylane can lead to certain side effects. These may include the following:

1) Swelling
2) Unevenness
3) Lumps or bumps
4) Pouty appearance due to overfilling

It is possible the unevenness you are experiencing is due to excess filler that still may be present and was not dissolved with the vitrase. Once the filler is gone, your lips should return to their original state and look as they did prior to any treatments. How long has it been since your last treatment with vitrase? I would give it a little bit of time and see how your lips respond. It is not likely that a temporary filler such as Restylane can permanently deform the lips. A touch up can always be performed with additional filler to try and even out your lips. In the future, I would recommend Juvederm, as it is an all-around better filler for lip augmentations. I hope this helps, and I wish you the best of luck.

   You appear to have a even contour to your lips.  If you are referring to the size discrepancy between the upper and lower lips, a lip reduction procedure can be performed.

Restylane won't last 2 years in the lips - so using Vitrase at this point doesn't make sense. Your lip shape appears to have changed from the original photo you posted, however without knowing your history of use of other products, it's difficult to say what your options are.

It means nothing really that you had vitrase.  Many physicians are uncomfortable with this product and don't really understand the dose.  Older   HA filler disperses overtime.  This means much more enzyme is needed to remove an old treatment than a new treatment.  Doses in excess of 1500 units of hyaluronidase may be needed to remove the remains of an old treatment.  If 1500 units of hyaluronidase does not make a difference, it is likely that someone used something other than Restylane in the lip, silicone oil is the most permanent.

Restylane does not last for 2 years in the lips. Whether or not hyaluronidase is injected, the material resorbs without any permanent effect. Restylane has a long clinical record of safety and effectiveness, and while it can last up to a year in the cheeks it rarely persists longer than several months in the lips.

Hi Jeffery.  We do not see any deformities in the pictures you posted.  You have very full lips so adding products or implants would not be a recommendation we would make.

As for permanent changes caused by Restylane, we have never seen this before.  Once Vitrase is used the product is typically fully dissolved.  And if it's not at the time, it does not usually last more than a year in the body.

If you are 2 years post injection than I must assume IT WAS NOT RESTYLANE! You most likely had a permanent filler placed! 

Jeffrey,  I agree with those that said that your lips were lovely to begin with and that you should not have any Restylane remaining in your lips after two years and two vitrase treatments. Also, the before and after photos are impossible to compare as they are taken from very different angles.

At two years after restylane treatment, it is unlikely that you have restylane still in your lips. Are yousure resty was used and not some other permanent product?