Crease/indentation after lip filler (Photo)

Question

I had 0.5ml lip filler in mid October. I wanted them to look more hydrated, nothing else.Everything was perfect, minimal swelling, bruising and pain. However, almost 5 weeks after I got filler, I woke up with a strange crease on my left side. At first, I thought this was from a weird sleeping position, however, a week later and it's still here. What could this be? If it migrated, should I get them dissolved or could it subside on its own?

Anna Chacon, MD, FAAD · Answer

It's not uncommon for changes to appear in the weeks following lip filler injections, as the filler can sometimes settle unevenly or migrate slightly. The crease or indentation you're experiencing could be due to a few different factors, such as swelling that has subsided unevenly, the filler settling, or even muscle movement.

Here are a few possibilities and steps you could consider:

Natural Resettling: Sometimes, fillers can take time to fully integrate into the tissue. This might mean that the crease could resolve on its own over the next few weeks.

Massage: Gently massaging the area might help smooth out the filler. However, it's important to do this only if advised by your healthcare provider.

Consult Your Injector: It's best to follow up with the practitioner who performed the injection. They can assess the area and determine if any intervention is needed.

Dissolving the Filler: If the crease persists and is bothersome, your practitioner may suggest using hyaluronidase to dissolve the filler. This is generally a safe and effective option but should be considered carefully.

Waiting Period: If the crease is not very noticeable and doesn't bother you much, waiting a bit longer might be a good option, as minor irregularities can sometimes resolve on their own.

Ultimately, a follow-up appointment with your provider is the best course of action to assess the situation and discuss your options.

Camille Cash, MD · Answer

It's not possible to tell from looking at the submitted photos what the nature of the crease is.  I encourage you to return to your injector for an evaluation.  If it is filler you can have it dissolved with hyaluronidase.

Crease/indentation after lip filler (Photo)

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Everything you need to know about Lip Fillers

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Crease/indentation after lip filler (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Lip Fillers

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