Lip Filler Correction with Hyaluronic Acid: A Clinical Case Report
DOI:
https://doi.org/10.14295/idonline.v19i77.4231Keywords:
Lip augmentation, Hyaluronic acid, Hyaluronidase, Orofacial aesthetics, Facial HarmonizationAbstract
Lip fillers with hyaluronic acid are a widely performed aesthetic procedure. However, when misdirected or applied incorrectly, they can result in noticeable asymmetries and irregularities, impacting facial harmony and patient satisfaction. This case is relevant because it demonstrates the efficacy of hyaluronidase in the complete reversal of an unsatisfactory lip filler, followed by a successful re-application, with a natural and uneventful aesthetic result. This contributes to the literature with a safe and effective clinical approach. The objective was to report a clinical case of lip filler correction using hyaluronidase and subsequent re-application of hyaluronic acid, emphasizing the clinical course, interventions, and outcome. The case reinforces the importance of hyaluronidase as a safe and effective tool in the correction of unsatisfactory lip fillers, enabling a re-application with satisfactory aesthetic results. Correct clinical evaluation and appropriate technique selection are essential for therapeutic success.
Objective: To report a clinical case of lip filler correction using hyaluronidase, followed by a new hyaluronic acid application, highlighting the clinical course, interventions, and outcomes.
Case Report: A female patient presented with complaints of lip asymmetry and irregularities after a lip filler procedure performed by another professional. No other local or systemic complications were noted upon examination. A single session of hyaluronidase was administered, resulting in complete dissolution of the product. Fifteen days later, a new hyaluronic acid filler (1 mL) was applied under local anesthesia using a combined cannula and needle technique. The clinical outcome was satisfactory, with a regular, symmetrical, and natural lip contour. The patient adhered well to the treatment and experienced no adverse events.
Conclusion: This case reinforces the value of hyaluronidase as a safe and effective tool for correcting unsatisfactory lip fillers, allowing for subsequent interventions with successful aesthetic outcomes. Accurate clinical assessment and appropriate technique selection are essential for therapeutic success.
Downloads
References
1. DE AQUINO, José Milton et al. Hialuronidase: uma necessidade de todo cirurgião dentista que aplica ácido hialurônico injetável. Revista Eletrônica Acervo Saúde, n. 39, p. e2296-e2296, 2020. DOI: https://doi.org/10.25248/reas.e2296.2020
2. LIMA, Carolina Souto et al. Preenchimento labial com ácido hialurônico: revisão de literatura. Journal of Multidisciplinary Dentistry, v. 11, n. 2, p. 67-73, 2021. DOI: https://doi.org/10.46875/jmd.v11i2.768
3. GAVA, Beatri; SUGUIHARA, Roberto Teruo; MUKNICKA, Daniella Pilon. Complicações e intercorrências no preenchimento labial com ácido hialurônico. Research, Society and Development, v. 12, n. 5, p. e28412541900-e28412541900, 2023. DOI: https://doi.org/10.33448/rsd-v12i5.41900
4. MENA, Marco Aurélio et al. O Uso da Hialuronidase na Harmonização Orofacial–Revisão Narrativa. Research, Society and Development, v. 11, n. 5, p. e17411528119-e17411528119, 2022. DOI: https://doi.org/10.33448/rsd-v11i5.28119
5. VASCONCELOS, Suelen Consoli Braga et al. O uso do ácido hialurônico no rejuvenescimento facial. Revista brasileira militar de ciências, v. 6, n. 14, 2020. DOI: https://doi.org/10.36414/rbmc.v6i14.28
6. BLANDFORD, Alexander D. et al. Microanatomical location of hyaluronic acid gel following injection of the upper lip vermillion border: comparison of needle and microcannula injection technique. Ophthalmic Plastic & Reconstructive Surgery, v. 34, n. 3, p. 296-299, 2018. DOI: https://doi.org/10.1097/IOP.0000000000000960
7. DE ALMEIDA, Ada Regina Trindade; SALIBA, Ana Flávia Nogueira. Hialuronidase na cosmiatria: o que devemos saber?. Surgical & Cosmetic Dermatology, v. 7, n. 3, p. 197-203, 2015. DOI: https://doi.org/10.5935/scd1984-8773.20157301
8. BUKHARI, Syed Nasir Abbas et al. Hyaluronic acid, a promising skin rejuvenating biomedicine: A review of recent updates and pre-clinical and clinical investigations on cosmetic and nutricosmetic effects. International journal of biological macromolecules, v. 120, p. 1682-1695, 2018. DOI: https://doi.org/10.1016/j.ijbiomac.2018.09.188
9. DOLGHI, Sandro Martins. Avaliação de implantes de polimetilmetacrilato (PMMA) para procedimentos de bioplastia. 2014. 48f. (Dissertação de Mestrado), Programa de Pós-graduação em Ciência e Engenharia de Materiais, Centro de Ciências e Tecnologia, Universidade Federal de Campina Grande - Paraíba - Brasil, 2014.
10. DÍAZ, Claudia Patricia González. High resolution ultrasound of soft tissues for characterization of fillers and its complications. Revista Colombiana de Radiologica, v. 30, p. 5064-5068, 2019.
11. TANSATIT, Tanvaa; APINUNTRUM, Prawit; PHETUDOM, Thavorn. A typical pattern of the labial arteries with implication for lip augmentation with injectable fillers. Aesthetic plastic surgery, v. 38, p. 1083-1089, 2014. DOI: https://doi.org/10.1007/s00266-014-0401-8
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Jackeline Da Silva Brito, Jade Alexandre Belo Reis, Adriana Mendonça da Silva
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Os autores detêm os direitos autorais sem restrições, devendo informar a publicação inicial nesta revista, em caso de nova publicação de algum trabalho.
