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I had Restylane injected into my lips for the first time 4 months ago. Is it too soon to have another injection?

Dr. Dean Kane Q & A Q. I was aiming to increase lip volume but it seems my lips have already returned to their original state. A. Hyaluronic acid (HA) fillers such as Restylane may be re-injected and layered most anywhere. There are many reasons to do this:
  1. ​Smaller amounts incorporate into the tissues easier and provide better water retention as the polar groups are more exposed to the tissues
  2. ​Larger amounts create a harder firmness or lump
  3. ​Larger depots of filler have less circulation around them and if they get infected (very rare, but if they do) will not respond as well to antibiotics
  4. ​It is easier to shape and layer with more HA as needed to achieve the results you wish
  5. ​Because of increased inflammatory reaction in the lips, a large amount of filler may create an over-responsive swelling and therefore, dissatisfaction.
  6. The lips, in particular, require injection artistry with different style filler to volumize versus project the:
  7. Pink or vermillion lip
  8. Project from the wet, underside of lip
  9. Highlight the white line and philtrum
  10. Hide or soften the peri-oral lines
  11. Turn the “frown, up-side down”, ie. elevate the corners of the mouth and fill the marionette fold / line.
“Less is better; more often” then the idea of “one and done”. ​ ​Good luck with this!
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