Can you remove lip fillers, or must you wait for them to dissolve? How long will this take? Lip fillers typically consist of hyaluronic acid. Hyaluronic acid fillers can be dissolved at any time after it has been injected with another injection of hyaluronidase. Hyaluronidase is an enzyme that degrades hyaluronic acid fillers and is used to treat complications related to hyaluronic acid-based filler injections such as nodules and blood vessel obstruction.
The degradation of hyaluronic acid by hyaluronidase happens as soon as it has been injected and it may take 24 hours for the breakdown to be complete. Interestingly, hyaluronidase only selectively breaks down synthetic hyaluronic acid that has been injected and spares your own natural hyaluronic acid.
How do you prevent your fillers from looking too unnatural like Kylie Jenner's? This boils down to an understanding and appreciation what is an ideal lip appearance and ratio. Full lips have been associated with a sexier, more beautiful and youthful appearance and for patients who lack volume and projection in their lips, a small amount of filler can improve the appearance. Too much, however, causes bee-stung or sausage lips. For me, its about keeping to ideal facial proportions; re-creating the delicate contours of normal lip anatomy; and ensuring that the appearance of the lips is in harmony with the rest of the facial features and proportions.
What is the textbook definition of 'perfect lips'? The classic description of the ideal proportion of the vertical height of the upper lip to the lower lip is 1:2 (although some textbooks might say the ratio should be 1:1.6) i.e. a relatively thinner upper lip. When this ratio is violated from excessive filler injection, the appearance of 'duck lips' or 'sausage lips' results.
The three dimensional structure of the lips is such that it has ridges and contours. Understanding and re-creating the subtleties of the normal lip anatomy is important to avoid causing lumps in the lips or an unnatural looking appearance. For example, when the cupid's bow is not maintained, the lips start looking unnatural.
When enhancing the appearance of the lips, the appearance of the lips should be one that is harmonious with the rest of the face and not distract from the rest of the facial features.
Kylie Jenner's lip fillers was unnatural looking and led to widespread speculation even before she admitted to having lip fillers done. Both her upper lips and lips had excessive volume; her natural contours like her cupid's bow were not preserved and her pout distracted from the rest of her face.
What are the ways that aesthetic doctors can correct botched lip fillers? If the problem lies with the upper lip having excessive volume — the solution would be to volumise the lower lip to bring the upper lip to lower lip ratio to the right proportion of 1:2. However, if that is not possible, say because both lips would look too plumped up — the solution would be to dissolve the fillers with hyaluronidase and re-inject again later.
If the problem lies with the lip anatomy being lost, the doctor can try to mould the filler. However, after one to two weeks, the filler may become immobile and the only solution is to inject hyaluronidase to break down the filler and re-injecting again later.