Lip Fillers, lip blushing on a dog bite (Photo)

Question

I had a dog bite in 2010 on my lips. Would I be able to get filler done on them? I’d also like to do lip blushing since I’m missing my Cupids bow. What procedure should I get done first?

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and your history. Since you sustained a dog bite in 2010 that affected your lips and altered your Cupid’s bow, it is understandable to explore cosmetic options to restore both symmetry and definition.

1. Lip Fillers:
Yes, lip fillers can generally be performed even in areas where you’ve had scarring from a dog bite. Fillers help restore volume, correct asymmetry, and improve lip contour. However, scar tissue can sometimes make the results less predictable compared to uninjured tissue, and in certain cases, more than one session may be needed for refinement.

2. Lip Blushing:
Lip blushing is a semi-permanent tattoo technique used to enhance lip color, redefine borders, and recreate features like the Cupid’s bow. This can be very beneficial in cases where natural pigmentation has been lost due to trauma.

3. Which Procedure to Do First:
It is generally recommended to perform lip fillers before lip blushing. The reason is that fillers alter the shape, contour, and volume of the lips, which directly affects how the tattooed pigment will sit. Once your desired shape is achieved with fillers, lip blushing can then be applied more precisely to enhance symmetry and restore natural-looking color.

Important Considerations:

Healing and scar tissue response should always be taken into account.

There is a possibility of needing touch-ups with both fillers and lip blushing for optimal results.

A consultation with an experienced injector and a cosmetic tattoo specialist is important to create a coordinated plan.

Gary M. Horndeski, MD · Answer

The dog bite has caused a scar over the right lateral lip.  Your white line is not aligned.  I recommend a scar revision to remove the discolored mucosa and the white line.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

Try the filler first to see how well you do. if filler works well, you might consider fat grafting to your lip.

Lip Fillers, lip blushing on a dog bite (Photo)

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