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Why does the bit above my upper lip still look overfilled after I had the filler dissolved twice? (photo)

anitahasaniFeb 6, 2018
I had lip fillers (juvederm) done a while ago, however the filler migrated above my top lip and made it look overfilled and lumpy. I went to a doctor who injected Hyaluronidase above my top lip to remove the filler. He did this on 2 separate occasions, however, there is still a lump above my top lip (although there is no filler there). Will I need to dissolve this area again, will my whole lip need to be dissolved or will this go down naturally?

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Dr. Sacha Obaid, MD
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More Hyaluronidase Questions

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Jason Emer, MD

It can take 1-2 weeks for swelling to resolve after hyaluronidase injections. Keep in mind, it can take a series of treatments. See an expert. Best, Dr. Emer

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Hung William Song, MD

The swelling may be due to the bruising. A bruise is a collection of blood under the skin from the needle, so injecting more hyaluronidase may not help. In fact injecting too much can cause loss of your natural hyaluronic acid and leave you with wrinkly skin. I would wait.

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Raffy Karamanoukian, MD, FACS

Longterm filler problems include migration, edema, and nodularity. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may...

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Hung William Song, MD

I like to use an insulin syringe to inject very small aliquots into the area to be treated. Doing this over multiple visits is the safest way to do it. If you inject too much of dilute it and let it diffuse out of the treatment area, you can get wrinkly skin from dissolving your natural...

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Jason Emer, MD

I recommend following up with your Doctor about your concerns about your treatment. Hyaluronidase won't damage tissues or cause wrinkles and/or eye bags. Keep in mind, it may take a series of treatments. See an expert. Best, Dr. Emer

+3 answers
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Harold J. Kaplan, MD

Hi Sdeen.  It could still be product or it could be a granuloma.  The two options are hyaluronidase products like Hyelenex (we prefer Vitrase) and steroid injections.  If the product was Voluma, we have begun to hear of more cases where granulomas are occurring and where they are...

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