Did I ruin my lips forever? Can I reverse this? (photos)

Hi @tskat. I'm sorry you are not happy with your results. I recommend dissolving the filler with Hyaluronidase.

Best of luck,

Dr. Nima

Hylauronidase has many advantages and should be considered in patients who are unhappy with their results or in acute cases of overfilling or occlusion. Its often better to reverse filler and restart then to deal with long term edema. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best,
Dr. Karamanoukian
Realself100 Surgeon

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

The use of HA fillers for lip augmentation has one advantage over other products - it can be 'melted' or 'dissolved' using hyaluronidase injections. Its safe and reliable to do this treatment.

Yes your filler can dissolved with an enzyme called Hyaluronidase. You could then wait and have them injected to your desired look later. Make sure to discuss with provider your concerns before any further injections. 

Hyaluronic acid based fillers like Restylane and Juvederm can be dissolved using hyaluronidase. 

You can easily have your lips plumbed up with additional HA fillers of your or your doctor's choice. Good luck from New York City

  Yes, HA fillers can be reversed with a hyaluronidase enzyme such as Hylenex. From my experience, there are times that the area doesn't completely return to how it was pre-injection. This depends on the amount of filler used and the duration of time that the filler has been in that location. However, looking at your photos, your result is beautiful and in proportion with the rest of your face. I'm assuming that the first photo is the most recent?  Perhaps you were used to having a more petite mouth, but the width of the mouth should be greater than the width of the nose. I would recommend waiting to see if you adjust to your beautiful lips before dissolving them!  All the best!
Michelle Giglio, PA-C

Yes you can dissolve the fillers with Hyaluronidase And see the results Then you may or may not decide to use more fillers.