Lip filler dissolved 11 times, but I feel like it is still in my lip. Is it possible that it is just my own lip tissue? (Photo)

Question

I have dissolve my lips fillers a total of 11 times now; yet I feel/see like I still have filler in my lip. I had my lips done in 2018 & 2019 several sessions and many syringes using juvederm ultra and ultra plus. Now with 11 session within 3 yrs - is it possible it is just my own lip tissue and not filler ? I am attaching photos and there's a thicker line across straight through inside my upper lip separating the folds - is that filler or my lip tissue ? ( I am bruise from dissolver)

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! It's possible that you could've developed scar tissue or nodules which change the feel of the upper lip. Instead of hyaluronidase, it might help to have a steroid carefully injected into the concerning areas. After, massaging would be employed to see if improvements can be made. The filler should be gone in theory at this point. Hope that helps!

Lip filler dissolved 11 times, but I feel like it is still in my lip. Is it possible that it is just my own lip tissue? (Photo)

Answers (2)

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Everything you need to know about Hyaluronidase

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Lip filler dissolved 11 times, but I feel like it is still in my lip. Is it possible that it is just my own lip tissue? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Hyaluronidase

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