What are the effects of smiling after lip augmentation with injectable fillers (dermal fillers)?

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From the Research

It is crucial to avoid excessive smiling or facial movements for at least 24 hours after lip injections to prevent filler migration and ensure optimal results. Studies suggest that facial movements, including smiling, can potentially cause the filler to migrate from its intended placement, affecting the final results 1. During the initial healing period, the filler material is still settling into position, and excessive movement may disrupt this process. Additionally, smiling stretches the lip tissue, which could exacerbate swelling and bruising that commonly occur after the procedure.

Some key points to consider after lip injections include:

  • Avoiding touching or massaging the lips unless specifically instructed by the provider, as this can similarly displace the filler
  • Resuming normal facial expressions gradually after the initial 24-hour period, with some practitioners recommending continued moderation for up to a week in cases of extensive injections
  • Understanding that hyaluronic acid fillers need time to integrate with surrounding tissues and bind with water molecules to achieve their full volumizing effect, as discussed in various studies 2, 3, 4, 5

The most recent and highest quality study, published in 2023, highlights the importance of safe filler injection principles and the use of ultrasound guidance in preventing and managing complications 1. This study emphasizes the need for esthetic practitioners to be well-versed in injection anatomy and the prevention, recognition, and management of filler complications in the perioral area. By following these guidelines and recommendations, patients can minimize the risk of complications and achieve the best possible outcomes after lip injections.

References

Research

Management of Lip Complications.

Facial plastic surgery clinics of North America, 2019

Research

Dermal fillers: pathophysiology, prevention and treatment of complications.

Journal of the European Academy of Dermatology and Venereology : JEADV, 2017

Research

Dermal fillers: an update.

American journal of clinical dermatology, 2015

Research

Dermal fillers in aesthetics: an overview of adverse events and treatment approaches.

Plastic surgical nursing : official journal of the American Society of Plastic and Reconstructive Surgical Nurses, 2015

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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