Lip filler lines - is there any way to fix this? (Photo)

Question

Hello. I got 1ml of Hyabell about a month ago, and 5 weeks before that, I got 0.5ml of Juvaderm, because they told me i have to come twice. My lips still look the same even after that 1ml, but my main concern is that i have a big horizontal line on my upper lip when I smile. My lips are still soft and they feel natural, so i guess they're healed. Can you tell me why that is, and if there is a way to fix that? I am the first person I know, that has this problem. Please help.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. It is difficult to provide a proper assessment without a face-to-face evaluation, but the deformity in your lip may either be due to excess filler or wrong placement of filler. It is unlikely, however, for a temporary filler to permanently deform the lips. I recommend going back to your provider so you can undergo a proper evaluation and further care. A touch-up can always be performed with additional filler to try and even out your lips.

In the future, I highly recommend only seeking treatments from a reputable, experienced injector. Such experts will know what product to use, how much product to use, and precisely where to inject to ensure an optimal outcome. During your consultation, your surgeon can assess your lips and recommend the best course of action that will safely achieve the most natural-looking results.

Daniel Barrett, MD · Answer

Dear Trustworthy2k,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

It’s a little hard to tell with limited information. Ideally we should see pictures before the treatment with the same smile to make an assessment.

This may be related to how and where the injection was placed.

Everybody does lip augmentation in their own way. Personally I make a single injection at the commissure of the mouth and use a long needle that reaches all the way to the midline of the mouth.

Other providers do it with a series of individual shoulder injections

I suggest you follow up with your provider and either discuss having them do revision work, dissolve the filler or simply wait until it dissipates and is gone which typically doesn’t take that long.

I don’t personally work with Hyabell and within the Juvéderm line there are many different products all called Juvéderm.  For example Juvéderm Voluma is drastically different than Juvéderm vobella.   Still, they are HA based fillers.

Best,

Mats Hagstrom MD

Lip filler lines - is there any way to fix this? (Photo)

Answers (4)

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