Hi, I have been having my lips filled for the last 7/8 years and it always absorbs within 4-6 weeks. I started off getting juvaderm smile once every 6 months then tried teosyal kiss from a different nurse, I moved to a different nurse again started having 1ml juvaderm ultra every 12 weeks, I moved to my currrent nurse, she has since tried juvaderm ultra, smile, volift, volebella, teosyal kiss and one which she just said was a thicker rha, I get 1 or 2ml each time and get them done 8/12 weeks
Answer
In some people, filler can metabolise quicker than in others and you may experience the 'swelling' (which some people prefer the look of) for longer. For you it seems as though the filler metabolises much quicker but I would try to avoid getting them re-done any sooner than three months prior to your last treatment. Have you tried Restylane - this could last a little longer than Juvederm?
Dr. Yannis Alexandrides, MD, FACS
Board Certified Plastic Surgeon
Answer
Most people think the filler doesn't last as long because the lips get very swollen after injection. If you truly feel the results are not long lasting and you have compared before and after photos, then I would consider other options such as fat or a lip implant (although I tend to not like how implants look). Other fillers such as Perlane and Voluma, although typically used in the middle face, work very well in the lip in patients like you whom Restylane and Juvederm Ultra/Ultra plus just didn't seem to last. See an expert. Best, Dr. Emer
Dr. Jason Emer, MD
Board Certified Plastic Surgeon
Answer
Thank you for sharing your question and photographs. Based on all the fillers you have used to maintain your lip fullness it appears you are one of those individuals that quickly metabolizes hyaluronic acid. Though you can try Voluma or Juvederm Ultra Plus you will likely have similar absorption time frames that you will need to work around. Hope this helps.
Dr. Nelson Castillo, MD
Board Certified Plastic Surgeon
Answer
You may have a high metabolism. Those who are very active in sports, cross fit and long distance running, do appear to absorb their filler at a faster rate. You might want to consider a fat transfer to your lips. Remember, initially there is swelling, so please compare your lips to your before filler photos, not after filler photos.
Answer
Some patients lip fillers last longer than others. My recommendation is if you like the results, but want something longer lasting you should consider Juvederm. Please see a board certified dermatologist who specializes in lip augmentation for the best cosmetic results. Best, Dr. Green
