Can You Reverse Restylane in Lips? My Results Are Uneven.

Question

I just got injection for first time and is uneven in my upper lip please someone answer me I'm freaking out!!!

Kenneth D. Steinsapir, MD · Answer

You may need to have your treatment adjusted or removed. Because lips swell immediately upon treatment sometimes the lips will look bee stung at first. Then they calm down. However, the truth is that many injectors are not artful. The upper lip can be too big or the result can be irregular. An artful injector is unlikely to have results like this. Small lumps can be felt at the time of treatment and adjusted at the moment of service. Bumps that are not resolved this way can be modified with the enzyme hyaluronidase. Give it a few days. If you injector can't help you, find a physician who can.

Harold J. Kaplan, MD · Answer

Hi Jesse. Yes, not to worry, the Restylane in your lips can be removed. If your practitioner offers it, you can try Vitrase (hyaluronidase). This enzyme quickly and easily dissolves injected Restylane, Juvederm or Perlane. Should be gone soon after. Good luck.

Jason D. Bloom, MD, FACS · Answer

If your lips are asymmetrical or unneven a few days to a week or two after the injection, I would not worry. This could be due to a number of factors, most likely swelling. I would first try massaging the lips and the area you are worried about. The swelling will gradually come down over the next few days to weeks. If after that time, you are still unhappy with the results, Restylane can be added to the deficient areas to even them out or even hyaluronidase can be used to dissolve the filler completely.

Ronald Schuster, MD · Answer

Lips swell a lot after restylane/Juvederm injections. if you just got them within the past 2-3 days this is completely normal. They could be a little uneven because of bruising or uneven swelling, not because of the Restylane. Apply some ice through the weekend. Lips stay swollen for a while also. Give it at least 3-4 weeks.Don't freak!

Philip Solomon, MD, FRCS · Answer

If you just had it done it may be due to swelling. Give it a few weeks before any further treatment. If after a few weeks the lips still appear uneven then see your physician who can add more product to even things out or add hyaluronidase to dissolve product that may appear excessive in a given area. Good Luck.

Martie Gidon, MD, FRCPC, FAAD · Answer

Please wait two weeks before re-treatment. You may have some swelling that will last a few days and you will then be happy with your result. Restylane can be dissolved but you may need a bit more Restylane to even out your lips.

Grant Stevens, MD · Answer

If you just got injectied, I would highly recommend you ice your lips at least for the first 24 to 48 hours.  This is to help decrease some of the swelling.  Second, let the product settle for at least 1 week before you request the product be removed.  If at that time you still see a noticeable uneveness of shape in your lips then you can have your provider dissolve the product with hyaluronidase.  -it's that simple. 

	Hope this helps.  Good luck.

	 Dr. Grant Stevens

E. Ronald Finger, MD · Answer

Yes, it can be reversed with a product called hyaluronidase, However, there may be uneveness initially for ar least a week from a small amount of bleeding on one side. It is also possible that the injecting physician did not inject it evenly. You will not know this until the swelling is gone. Another option is to inject a little more in the smaller side. Great care must be used when injecting into the lips as they are so predominant and visible. I have found that using the Dermasculpt microcannula instead of a needle avoids bleeding and most of the swelling. It pushes the blood vessels aside without penetratring them.

Stacey Tull, MD · Answer

The best course of action is to wait at least 1 week for swelling to subside. Then determine if you need to fill the other side or use hyaluronidase to dissolve some of the filler. It's all about symmetry.

Ted Brezel, MD · Answer

Resytlane and other hyaluronic acid fillers such as Juvederm and Perlane can be reversed with a injectable product called hyaluronidase. Any assymetry can also be adjusted with additional Restylane injections to achieve a more balanced appearance. As the other doctors aptly noted a recommended course of action would also be determined by how recent the Restylane injections were performed. It is not uncommon for patients to have a fair amount of swelling and after their injections. Therefore if its been less than a week after your injections it would be prudent to wait before rushing in and reversing the injections. I would recommend you visit your physician injector for evaluation as the first step.

Can You Reverse Restylane in Lips? My Results Are Uneven.

Answers (15)

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