How to restore your lips to their previous volume after the filler wears off?


In the 90s of the last century, plastic surgery experienced a real boom. Having the opportunity to adjust their appearance in the desired direction, millions of women rushed to make new faces for themselves.

Non-surgical lip augmentation has often been performed using silicone gels, polyacrylamide gels and Formakryl. They promised results “for life.” Inexpensive and seemingly safe.

Removing biopolymer gel from lips. Internal cut. Performed by surgeon: Andrey Iskornev

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“The price tag for bio gel is lower than the cost of administering self-absorbable gels. But so as not to have to learn again the hard way, the low price of lip contouring should not please you, but be alarming. And in no case should price be the determining factor when choosing a drug.

The consequences of introducing biopolymer gel into the lips became clear only after a few years. In 9 out of 10 cases, the gel migrates, collects in lumps, becomes inflamed, reduces the sensitivity of the lips, and interferes with facial expressions. The shape of the lips changes. The effect of “duck mouth” and “hare lip” develops, which hopelessly spoil the face.

Of course, most often the choice in favor of biopolymers was made out of ignorance. But today you should refrain from them, no matter what your cosmetologist tells you about the “safe Spanish gel.”

Andrey Iskornev, plastic surgeon.

Before and after photos: removing silicone from lips

“This is an example of how the perception of a face changes after harmonization.
I removed the biopolymer from Marisha’s lips, and her eyes immediately “lit up.” This is the rule: the gaze of the beholder always catches the eyes, so nothing should distract from them - neither a large nose, nor lips. Moreover, the adjusted lips immediately lengthened the lower third of the face, making it more model-like and memorable. Plump lips are a feature that is initially atypical for the Caucasian type of appearance. This means that girls with a certain type of appearance can afford such large lips and still look natural.

And it’s not a matter of skin color at all - lips should have a “place” on the face. That is, the proportions of the lower third of the face should be of sufficient length to accommodate plump lips. Ideally, the height between the upper and lower lips should be 1/4 of the distance from the tip of the nose to the chin.

But in harmonizing appearance, not everything is so simple. If the tip of the nose is tilted down, then it “cuts off” the full face, shortens the above distance, and the lips, even after moderate contouring, look artificial.

Only a true artist who knows and understands the principles of appearance harmony can correctly fit new lips into the structure of your face.” Performed by surgeon: Andrey Iskornev

Lip reduction, biopolymer removal. Performed by surgeon: Andrey Iskornev.

Photos “before” and 2 weeks “after” removing silicone from the lips. Surgeon: Iskornev Andrey.

The patient was injected with silicone gel under the guise of hyaluronic acid gel. The lips became deformed and became asymmetrical. The photo shows the results of removing silicone gel from the lips in combination with lip shape correction. Surgeon: Iskornev Andrey.

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Patient review:

Thank you :) Well, in one word, I am delighted!!!!! I remember how I walked and covered my lips)))) but now I’ve forgotten that I once faced this problem and the rehabilitation was generally easy, I expected terrible pain, which didn’t even happen) Andrey, thank you so much again for removing me from my life is a huge complex! You are simply a miracle person, talented, a huge professional, and by the way, your lips turned out worse in the photo than in life)))

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How to prevent swelling after lip correction

In order not to provoke an increase in swelling and to speed up its resolution as much as possible, there are a number of restrictions after the procedure. Within 4-6 days you should exclude:

  • massage (meaning procedures in the facial area);
  • frequent touching of hands to and around the lips;
  • excessive physical activity, fitness or training (especially in the first days);
  • strong alcoholic drinks;
  • visiting saunas, baths, solarium;
  • smoking the first day after the procedure (can cause infection in the area of ​​soft tissue punctures);
  • use of peelings, face and lip scrubs;
  • use of decorative cosmetics for lips;
  • performing wax depilation in areas near the lips;
  • visits to the dentist within the first two weeks after lip augmentation.

It is also recommended to eliminate the habit of licking or biting your lips, as this will negatively affect their condition and may cause increased swelling.

Kissing after lip augmentation

One of the most popular questions from the fair sex. Girls, we well understand your desire to immediately show the advantage of your new volumes to your halves. However, you should wait at least until the swelling subsides, and preferably 6-7 days after the procedure. Although light and airy kisses are completely permitted!

If I follow the rules, but my lips are still big?!

Additional reasons that cause severe swelling after the lip correction procedure are:

  • allergic reaction to the drugs or anesthetics used (tests are recommended before the procedure);
  • Exceeding the dose of filler and excessive “pumping” of the lips causes not only an unnatural and unaesthetic appearance, but also the appearance of serious swelling (since preparations based on hyaluronic acid tend to attract water);
  • development of secondary tissue infection if the rules for filler injection or lip care are violated;

If you feel that after visiting a cosmetologist something is wrong or the swelling persists longer than the specified period, you must definitely visit a doctor for consultation.

Is it even possible to remove biopolymer gel from lips?

Restoring the shape of the lips after previously injected silicone gel is an art.

When enlarging lips with gels, many believe that if necessary, “pumping out the gel” is a minor problem. After all, the gel was introduced through a thin puncture, which means it can be removed back in the same way. Unfortunately, everything is not as simple as it seems. This gel grows into the lip tissue, becomes overgrown with connective tissue (scar) and deforms the natural shape of the lips.

And in this case, lip correction turns into an extremely difficult task for the surgeon.

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— How does the patient recover after?

Postoperative rehabilitation consists of rinsing the mouth with antiseptics and prescribing a course of antibiotics. During the first 3 days after surgery, intense swelling of the lips is observed, which then goes away. Also, during the postoperative period, it is recommended to avoid eating spicy and salty foods.

— If there was asymmetry, is it completely corrected during surgery?

The surgeon, of course, strives to maintain symmetry, but the scars may be unevenly distributed. Depending on the location, the remaining tissues susceptible to fibrosis are removed. If the patient wants to add volume using modern injection materials, this can be done after surgery. During the operation, the volume of the lips changes, but not their shape.

PAAG has the most severe consequences!

- And if we are talking about more “evil” drugs, such as PAAG, Vaseline?

There are still cases when patients come to remove drugs of the previous generation. These can be polyacrylamide gels (PAGE), petroleum jelly, adipose tissue

, other substances.

The introduction of PAAG has the most severe consequences. It does not dissolve and does not form a membrane. PAAG has the property of hydrophilicity; it absorbs water. In such cases, an autopsy is required, its removal, and then anti-inflammatory procedures are carried out. There are statistics according to which the engraftment of the gel is 30-70%. This is a very wide range, behind which there are many severe cases. If tolerated, the material migrates; correction is required after six months to ensure proper aesthetics.

Vaseline and adipose tissue are materials that are completely unsuitable for lip augmentation!

There are also cases when materials that are completely unsuitable for this purpose, such as adipose tissue, Vaseline, etc., are used to increase lip volume. Of course, over time, patients express a desire to get rid of such drugs, but there is no single method to ensure safety in such cases. Not every surgeon is ready to take responsibility for correcting such dangerous experiments on appearance and health to which patients subject themselves. However, thanks to our experience, many situations are solvable for us.

— Can an inflammatory process be associated with an injected gel that has not dissolved? Have you had such requests?

There are cases when fibrosis is accompanied by a secondary infection with manifestations in the form of redness, severe swelling, and pain. Then you first need to stop the inflammatory process with a course of antibiotics. If there is an element of suppuration, then, of course, such areas need to be opened. If there is compaction without inflammation, a course of hormonal medications like Diprospan is prescribed. After the course, swelling goes away, compactness decreases, in some cases there is even a decrease in volume. If there is inflammation, it is first removed, after which a course of hormonal therapy is carried out; surgery will be the final step in removing fibrosis.

Thank you!

How to remove gel from lips in one procedure

The Platinental clinic has developed a surgical procedure that has helped more than 300 women regain their natural lips. It is unique because it allows you to remove the biopolymer gel from the lips and reconstruct your own lips at the same time.

Removal of gel from lips is carried out according to a specially developed scheme IN ONE PROCEDURE

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But the need to remove gel from your lips is only part of the task. Therefore, during the same operation, the harmonious shape of the lips is restored and excess mucous membrane, which hangs in the form of “curtains” in the upper lip area, is eliminated.

The biopolymer is removed through an incision on the inside of the lip. This avoids damage to muscles and blood vessels, as well as the appearance of an unsightly scar on the lips. The operation is completed with a special internal suture, which will not be noticeable after healing.

Surgeons Maxim Vasiliev and Andrey Iskornev during an operation to remove biopolymer gel from the lips. Surgeons at the Platinental clinic have helped more than 300 patients regain their natural lips.

During surgery, the shape of the lower lip is usually also corrected in order to maintain the natural proportion, when the lower lip is 1.5 times “plumper” than the upper.

As for the upper lip, removal of excess gel is also performed in the area above the upper lip to eliminate the so-called “duck mouth” effect.

Features of the lip augmentation procedure and swelling

In modern cosmetology, fillers based on hyaluronic acid are used to enlarge lips. The drugs do not cause complications (subject to the conditions of administration) and are administered using needles or cannula technology. This process causes slight injury to the soft tissues, which causes swelling.

The lip correction procedure should only be performed by an experienced cosmetologist who knows how to properly inject filler. It is generally accepted that the smallest number of punctures helps reduce injury and subsequent swelling. Our cosmetologists recommend making one puncture, after which you do not remove the needle completely, but simply change the direction of introducing fillers from one puncture.

Swelling after the lip augmentation procedure persists for two to three days, after which it disappears without a trace. Often swelling lasts longer - three to five days, it depends on the individual characteristics of the body. The tissues themselves take longer to recover, since during the procedure vascular damage often occurs, externally manifesting itself in the form of small hematomas.

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