Cortisone injection resulted in lip color fading/vermillion border disappearing. What to do? (photo)

You can have many options. Your picture is very hard to see the exact problem. It looks like a depression that is hypo pigmented and then an area that is hyper pigmented.
So, the real questions is what your priority list of what you want done. What is your main concern? Do you want to make the white region darker? Do you want to fill the depression? Do you want to make the dark spot lighter in color?
A face to face consultation will help you with making such decisions.
Sincerely,
Michael Kulick MD San Francisco, Ca.

to improve this you need fillers, subcision, and dermarlling with latisse and AERIFY ampules. proper skincare with growth factors (emerageskin refit face) and stem cells (anteagemd serum + accelerator) will help. Best, Dr. Emer.

Dear sisterlibertine,
I perform a lot of lip injections with fillers such as juvederm and it works great. Many times I need to put more in one side than the other to attempt to even out the vermillion border (The red line of the lip). This helps provide more symmetry at times.For patients looking for a more long lasting result, I recommend fat grafting. That is, using your own bodies fat to make your lips naturally look more shapely. The bonus is that the results last many many years.
In general, I avoid using permanent prosthesis because I find that the lips are such dynamic and sensitive structures, the end result is not natural.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery