What are my options for correcting uneven and downturned lips after years of filler and dissolver? (photo)

I am not saying that you do not have hyaluronic acid filler but this looks like more than just prior hyaluronic acid filler services gone bad. I would remove whatever volume that can be removed with hyaluronic acid filler. Whatever volume that does not respond to a significant and large dose of hyaluronidase, is caused by some other filler. If you have not had grafted fat, the are several other possibilities. Do you have medical records of these services? Were they done by doctors? Were you ever treated in nonmedical settings? Best.

The only way to fix it would be through a medialized corner lip lift (and not a simple corner lip lift) and a 3D lip lift (a lip lift alone wouldn’t work as the problem concerns the sides of your upper lip).


Best of luck !

Hello, great question, I see this often …. It appears there has been a lot of cumulative filler. Dissolving this would take more than one session from my experience. Maybe 2, 3 sometimes more depending on the type of filler used. Only then will you have a good idea of what level of asymmetry you have and how much down turn there is of the corners. The fullness of the lips, especially the top one can exaggerate this. A lip lift is a great procedure if done correctly. It can improve asymmetry of the peaks to a degree, but the outer parts of lip are harder to influence. This is especially true when the nose is relatively narrow to the width of the mouth. A lateral lip lift with a corner elevation can be used in combination with a subnasal lip lift top elevate the corners and sides. I would first work on dissolving to lips, then having a consultation with a surgeon experienced with quality lip lifts. Good luck!

Hello Thriving342933! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. If you are unhappy with your results, I recommend dissolving the filler and waiting before re-injecting. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Hello, hope you are well. I think you need to start by getting back to a natural appearance as best you can by removing filler material before considering a lip lift. Hyaluronic acid dermal fillers can be dissolved with hyaluronidase, but not other materials--namely silicone. Silicone material can be removed with lip reduction surgery. Once your prior lip augmentations have been reversed, a lip lift can still be considered if needed, but that's anyone's guess because the shape of your lips appears very distorted from prior procedures. Wishing you the best of luck
Best,Dr. Tower

The corners of your lips are down. You would benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.