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Correcting lip filler that is lumpy and bumpy

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Actual patient of Dr. Devgan, before and after corrective lip augmentation

Actual patient of Dr. Devgan, before and after corrective lip augmentation

With the increasing popularity of lip augmentation (lip filler or lip injections), I have seen an increase in patients who come in to my New York City private practice for corrective procedures after they have been treated by other doctors.

The lips are a focal point of the face, and precise measurements and careful attention to anatomic detail are needed to create beautiful results. Often, a patient who has less-than-ideal results is experiencing one of the following issues:

  • lumps
  • bumpiness of lip contour
  • asymmetry
  • imbalance of upper and lower lips
  • poorly defined Cupid's bow
  • overly augmented look ("duck lips" or "trout pout")
  • poor harmony with other facial features

When correcting lip filler done by another practitioner, there are several possible approaches:

  1. Do nothing and allow the filler to dissolve on its own. Most hyaluronic acid based fillers such as Juvederm, Restylane, and Belotero have a lifespan of somewhere between 4 and 12 months. They are naturally degraded by the body, even if nothing is done to them, over the course of time and normal movement.
  2. Dissolve the filler with hyaluronidase enzyme such as Vitrase or Hylenix. These enzymes, when injected, will cause hyaluronic acid based fillers to completely dissolve within about 5 minutes, with repeated massage. This returns the lips to their baseline prior to injection.
  3. Perform corrective lip filler. Additional filler can be added to smooth out evenness, irregularity, and asymmetry to mask the prior undesirable appearance. This is a good option if someone wants a look to be slightly fuller.

If you have questions or concerns about lip augmentation, please feel free to email my office at office@LaraDevganMD.com for more information.


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