Dissolved lip filler multiple times but hasn’t completely returned to natural size

Fillers can swell and migrate unpredictably, especially when a filler with a high-edema quotient is used in thin areas. Our office uses disciplined approaches to help patients with acute or chronic issues related to hyaluronic acid fillers. We begin by assessing for any tissue compromise and advocate early treatment to avoid complications with vascular occlusion. In chronic issues, it is important to gradually break up and dissolve filler so there is no further migration of loose filler substrate. Conservative staged dilution may also help avoid volume loss. If the filler is not dissolving, we may consider stronger concentrations or surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

There are two truths that most people like you need to know. First, hyaluronic acid fillers are used by the body to make collagen. Therefore, the residual volume you have is probably permanent from the injections. Secondly, Hyaluronidase only works in the time the particular filler is supposed to last and practically for only the first few months. You should generally try to dissolve all the fillers you had within 2-6 months of injection.