What procedure would you recommend to even out asymmetrical lips? The right side of my bottom lip had to be sewn back on after a dog attacked me when I was a child. As a result, there is a good amount of scar tissue that makes one side of my mouth appear both thicker and lower than the other. I have naturally full lips and they are the most prominent feature on my face, so this has always been my greatest insecurity.
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I underwent an injection of hyaluronic acid in the upper lip for the first time in my life about a month and a half ago. After the first treatment I was left with lumps and asymmetrical lip, and after two weeks I came for correction treatment and the doctor added more hyaluronic acid in my upper lip and I came out with a lip that is not yet symmetrical and lumps were added. After two days the lip on one side just went down. After seeing the alarming result I immediately asked to come and melt. After three days I went to the doctor he performed a spot dissolving on me I waited 24 hours and two weeks,The dissolving did not work. the lumps remained and the lip remained still curved downwards on one side, as heavy weight on it.
I arrived for another spot dissolving treatment and after that one, even after two weeks my lip still not straighten .
I went to another doctor cause the first one did this to me. And now i did a general dissolving in the whole lip. 24 hours passed and my lip still looks the same . What should I do?
Is my body resistance dissolving? Do I
need to dissolve with a stronger material?
The hyaluronic acid that was injected to my lip called Stylase L
I'm so lost, I had straight lips, i can send pictures
Please help me
It's hard to make recommendations without pictures. Be patient with your doctor and discuss your options. You may need a steroid injection and massage if you have a nodule.
Good luck
Dr Sarraga
Hi, I had my upper lip injected with hyaluronic acid filler a month and a half ago. That was not the first time I had the procedure done. And I always get only upper lip injected, my lower lip is naturally very big. This time I asked for filler to be injected with a cannula, in order to minimize bruising and down time. During the procedure it felt like pain was even worse than before and I got super swollen after but I was reassured it was all normal. My lip looked lumpy too.
Two weeks later, the lip was still large and lumpy and I decided to see a doctor. She decided to dissolve my filler and injected me with hyaluronidase. The lumps remained. I had 3 more treatments with hyaluronidase and my lip got smaller (back to normal) but the lumps still remained. My doctor put me on steroids for 7 days. That was not success either. After that she decided to pop the filler out. She gave me a dental block, made a hole in a lump with 18G needle and squeezed but nothing except blood came out. Now my lip is healed from that also, there is no change and lumps are still there. Most are underneath so not very visible but one is large and obvious.
I don´t know what to do anymore. What else can be done? Is my lip going to stay like this forever or will it eventually dissolve on it´s own? Could this be a scar tissue? Please help me, I am desperate at this point. Thanks in advance.
Vanessa
Hi Vanessa - lumps that don't go away after fillers can be challenging to treat. Sometimes the lump has to be surgically excised but there are other less invasive options that can be used. In person consultation is best to prescribe an adequate treatment; you should probably seek a second opinion at this point. Make sure to go to a board certified plastic surgeon or dermatologist that perform fillers regularly and have dealt with these issues before.
Good luck
Dr Sarraga
I am sorry to hear about your problems. It does sound like that, after you saw a doctor, you received very reasonable treatment. From your description, it seems like you had a combination of problems related to improper placement of the filler and small hematomas (what was expressed with the incision that was bloody) from the injection itself. The combination did leave a scar. The steroid was designed to reduce that scar as much as possible, but only time will tell whether it will totally resolve of not. This may take many months, and, maybe, a year or more. Unfortunately, watchful waiting is probably your best option now, as doing too much only adds more scarring. Continue to work with the doctor you have seen and be patient.
Hi and thank you for your message. Obtaining lip symmetry after a traumatic injury is challenging. Fortunately we now have a lot of different treatment options to improve symmetry - from Botox and fillers to scar revisions. An inperson consultation is best to give the best recommendations.
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Dr sarraga