Nowadays, lip fillers are one of the most needed cosmetic treatments in a doctor’s office, but the lips can be a tricky injection site. I have personally injected my lips twice-the last time was in early 2017, just before my wedding. However, in the summer of 2020, I went to see my dermatologist and she noticed that my lips looked uneven, and I also noticed this, but I think my fillings will eventually dissolve, when I had more The big fish should be fried. I didn’t even think about injecting hyaluronidase because I had never done it before, but it turned out that this was the answer to restore a more natural appearance-although it was smaller than I wanted. Here is what you need to know when the lip filler does not dissolve within the expected time frame, and how to return to a beautiful baseline with the help of a professional.
Fillers usually last for 6 to 24 months, depending on the area. New York dermatologist Melissa Levin, MD, said that it can last longer in areas such as the mandible, cheekbones, and temples, but in more active areas such as the lips or perioral area, It may dissolve faster. “In addition, I think people tend to think that this is just the life of the filler, but we are getting old and changing every day, so we must also take this into consideration.”
David Hartman, MD, a facial plastic surgeon in Dover, Ohio, explained that the HA filler syringes most commonly chosen for lips tend to be smoother and softer, which means it also dissolves than fillers in other areas Faster. “Compared with the harder, less flexible HA fillers that might be used to plump the cheekbone area, the softer varieties tend to dissolve faster,” he said. “In addition, the fillings in the lips are subjected to almost continuous’grinding’ movements from the lips and mouth, which also accelerates the decomposition of the fillings. Because of this, I recommend my lip filling customers, lip fillings It tends to last for 6 to 12 months.”
“HA fillers are not only hyaluronic acid,” said Dr. Levine. “In fact, if we inject HA directly into the skin, it will disappear very quickly. They extend the life of the filler by cross-linking, so basically this means placing these bonds between the HA particles to minimize the degradation process. , Which makes it last longer. This is interesting because when we biopsy the skin, you will actually still see the hyaluronic acid fillers that were placed a few years ago, and these fillers no longer have any clinical significance. This means that it is no longer moisturizing, no longer lifting, but it is still present in the skin. Everyone’s body is different in degrading fillers. This is why some people use up their HA lip fillers within six months For others, it sometimes exists for many years. The tear groove is a classic location where you can see the filling lasting for a long time. We not only use hyaluronidase (a kind of natural in our skin). Existing enzymes) to break down fillers, and we also have phagocytosis. Our immune cells are monitoring and clearing this process, and then degrading particles in different ways.”
If there is a filling on the lip that lasts for more than two years, Dr. Hartman recommends seeing a plastic surgeon or dermatologist certified by the committee so they can determine what it is. “I want to know if the filler used is not actually a HA product, but some other type of filler, or if the lump is caused by the patient’s lips reacting to the filler.” Most commonly, these reactions will Produces so-called granulomas. “A granuloma will form when a specific part of the body is stimulated for a long time, usually by a’foreign body’-an object buried in our body in some way-or by other reasons that do not heal the wound. Caused,” Dr. Hartman added. “However, I haven’t seen this in HA injected lips. I have injected HA fillers into my lips thousands of times. Studies have shown that granulomas are more likely to be injected with non-HA fillers. happen.”
Hyaluronidase is an enzyme in our body that can degrade hyaluronic acid. “In the synthetic form, there are two FDA-approved brands that are easily available in the United States: one is Hylenex and the other is Vitrase,” said Dr. Levine. These substances can be injected into the HA filled area to dissolve them very quickly. “It actually only takes a few minutes,” Dr. Hartman explained. “In general, this is an all-or-nothing remedy. I believe that lips will look more natural and more beautiful, so I don’t overfill them. I have only used them once in the past six years. Hyaluronidase.
Dr. Levine said that the cost of receiving hyaluronidase injections depends on how much filler needs to be taken, but the cost ranges from US$200 to US$1,000. “Also, not all doctors are willing to inject hyaluronidase, because it’s a bit like you are dealing with other people’s complications without knowing what’s in it,” she added. “I know that many offices don’t even carry it when doing filling, but for me, this is unacceptable.”
“I don’t think anyone has done research in this area, but I do now correct and take away a lot of fillers,” said Dr. Levine. “I think this is because more and more people are accepting fillers, and we have a more complex and evolved understanding of aging and beauty. I think we have a lot to learn. I always tell residents to soften and remove fillers. It is a more advanced technology than filling lips. I do think we will see this situation more and more. There are other hyaluronic acid fillers on the market in other countries, and we don’t know that they may be less familiar to us Related to other types of fillers.”
“I completed it in an appointment, but it is not ideal because it takes a full 48 hours to see the clinical results of hyaluronidase,” explains Dr. Levine, who prefers injections, and asks patients to come back for a few days or After a few days and a week, then check the results, and then refill. “When you take away the filling, it’s also really emotional, because someone goes through the process of getting it and thinks they look better, but then they realize they look a little weird. For me, This requires a lot of consultations for patients and understanding what the person in front of you thinks is beautiful and what their face usually looks like. Crazy beauty ideals, the whole selfie phenomenon and filters make some people look abnormal. This is much more common than people realize.”
“Not necessarily,” Dr. Levine said. “Some fillers have more cross-links, which can make them last longer. If the patient has what we call delayed hypersensitivity to it, I may not use this filler because they may not be transparent. The acid reacts, but it reacts to cross-linking.”
Post time: Sep-02-2021