Asymmetry when smiling - Is this migration? Is full dissolve the only way to fix my smile? (Photos)

Thank you for your detailed questions! I completely understand wanting to maximize volume while keeping safety in mind. Let’s break this down carefully: Building volume with thick vs. thinner fillers: Using a high G’ (thicker) filler for the initial base is effective for creating structure and...

Thank you for sharing your history and photos—lip asymmetry after multiple filler sessions is a common concern, and it’s understandable to feel frustrated when unevenness persists. Why asymmetry can persist: Even small differences in tissue thickness, muscle movement, or existing filler pla...

The persistent dark spot on your lip is most likely post-inflammatory hyperpigmentation (PIH), which can occur after trauma, inflammation, or procedures such as filler injections and dissolving bumps with hyaluronidase. This type of pigmentation is not caused by residual filler, but rather by...

Drinking from a straw on the side of your mouth where you’ve had lip filler shouldn't significantly affect the longevity of your filler, especially if it's a high-quality, long-lasting one like those with hyaluronic acid. However, some factors to consider: Repeated muscle movement: If you're c...

Very happily each gf the areas of your concern can be rather easily addressed with various HA fillers in the hands of an expert, board certified cosmetic dermatologist filler expert. A cohesive, low viscosity HA filler can be used to elevate slightly the tip of the nose--effectively...

Hi! Thank you for sharing your concern so thoroughly and including photos—it really helps to understand what’s going on. From your description, a few things could be contributing to the bulge below your lip: Scar Tissue / Fibrosis: Repeated filler injections, dissolving, and re-injections can...