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Why Does My Lip Filler Feel Uneven?

Updated: Apr 12

Introduction

You loved your lip fillers at first! those plump, smooth lips that made you feel like a star! But now, six months down the line, something feels off. One side is fuller, or maybe you notice some lumps that weren’t there before. It’s frustrating, right?


Here’s the good news: you’re not alone, and it’s totally fixable! In fact, we’ve seen many clients who’ve walked in with the same concerns, and after a little adjustment, their lips were back to their perfect selves.


Ready to find out why your lips may feel uneven and what you can do about it? Let’s dive in!


How Lip Fillers Work

Imagine your lip filler as a deliciously smooth mousse, soft and full at first, but over time, it starts to melt away. Hyaluronic acid fillers work similarly: they plump and shape your lips, but as your body naturally breaks them down, some areas dissolve faster than others.

This process is totally natural, but it can leave your lips feeling uneven—kind of like your favourite pillow losing its fluff on one side. It’s a common issue, and fortunately, there’s a simple fix!


Why Your Lip Filler May Feel Uneven

Wondering what’s causing your lips to feel uneven? Here’s why this might be happening:

1. Natural Breakdown of Filler

Think of your hyaluronic acid filler as a balloon, slowly deflating over time. Some areas may lose volume faster than others, which leads to uneven lip filler. It’s all part of the normal process, but it’s something to be aware of!

2. Lip Movement and Aging

From chatting with friends to sipping your favourite coffee, your lips are constantly on the move. These motions, plus the natural aging process, can cause your dermal filler to settle differently on each side. It’s like when you notice one side of your couch sinking a little lower than the other, it's all about the way things shift over time.

3. Uneven Injection Technique

Sometimes, if the filler is not injected symmetrically, it can lead to uneven breakdown. If more product is placed on one side of your lips, it might take longer to break down, causing an imbalance. But don’t worry, this is rare, and it can be fixed!

4. Dehydration

Here’s a fun fact: dehydration can actually make your lips look less plump! When your body is low on water, it affects how the filler behaves, which can make uneven lip filler more noticeable. So, next time your lips feel a little uneven, try sipping some water! It’s the easiest, most refreshing solution.





Factors Influencing Lip Filler Longevity

Factor

Impact on Lip Filler

Average Lifespan of Fillers

Skin Type and Elasticity

People with firmer, more elastic skin may retain filler longer.

6-12 months, depending on skin type and lifestyle.

Lifestyle Choices

Smoking, sun exposure, and diet can accelerate the breakdown of hyaluronic acid.

Shortens the lifespan; fillers may need touch-ups sooner.

Type of Filler Used

Different hyaluronic acid-based fillers have varied longevity and density.

Restylane and Juvederm fillers last 6-12 months on average.

Metabolism Rate

A higher metabolic rate may lead to faster breakdown of the filler.

Filler may last 4-6 months in individuals with fast metabolism.


Solutions for Uneven Lip Filler

If you’ve noticed unevenness creeping in, here’s what you can do to get back to the smooth, balanced look you love:


1. Book a Touch-Up

A lip filler touch-up is like a quick refresh for your lips! One of our clients, Emma, noticed that one side of her lips started to lose volume faster than the other. After a simple touch-up, her lips were restored to their beautiful, even shape. It’s a quick fix that gives stunning results.

2. Use Hyaluronidase

If you’re dealing with stubborn lumps or visible unevenness, hyaluronidase is like an eraser for the filler. It can dissolve the product in certain areas, allowing your practitioner to reshape and smooth things out. Think of it as a reset button for your lips!

3. Stay Hydrated

Did you know that hydration is essential for keeping your lips looking their best? When you’re well-hydrated, your lips appear plump and smooth. Try drinking an extra glass of water each day, your lips will thank you!

4. Explore New Filler Options

Sometimes, a new type of dermal filler can be the key to long-lasting, even results. There are various products out there, and your practitioner can help you choose the one that’s best suited to your lip shape and goals.


When to Consult Your Practitioner

If unevenness persists despite your best efforts, it might be time to consult your practitioner. Here’s when to reach out:

  • Persistent unevenness or lumps that don’t resolve with a touch-up.

  • Swelling or discomfort that lasts longer than expected.

  • Concerns about how your lip filler is settling post-treatment.

Remember, your practitioner is there to help, and it’s always best to reach out if you’re feeling unsure about anything!


Post-Treatment Care for Lip Fillers

Care Step

Purpose

Recommended Timeframe

Avoid Touching or Massaging Lips

Prevents movement of the filler and reduces the risk of infection.

24-48 hours post-treatment.

Stay Hydrated

Promotes healing and helps maintain filler hydration.

Ongoing; aim for 6-8 glasses of water daily.

Avoid Heat & Sun Exposure

Minimizes swelling and ensures proper settling of the filler.

2-3 days post-treatment.

Use a Gentle Lip Balm

Keeps lips moisturized and prevents dryness that can affect filler texture.

Throughout the healing process.



Final Thoughts

Uneven lip filler after six months can be a bit of a surprise, but it’s totally normal and fixable! Whether it’s a quick touch-up, some hydration, or a change in dermal fillers, you can get your lips back to their smooth, symmetrical best.


If you’re feeling concerned or just curious about how to keep your lip enhancement looking amazing, don’t hesitate to reach out. We’re always here to chat and help you achieve the results you want!


About Me

Nurse Marina of the Juvenology Clinic in Kent

Hi, I’m Nurse Marina, and I’m so glad you’re here! I founded Juvenology Clinic in Kent to bring a truly personalized approach to botox, dermal fillers, skincare, and overall wellness.


Before transitioning into aesthetics, I spent 6 years as a Cardiac Nurse at KIMS Hospital in Maidstone, where I developed a deep understanding of anatomy. I then honed my skills as a Specialist Aesthetics Nurse at Spencer Private Hospital in Kent.


I’m a proud member of professional organizations like JCCP, BAMAN, NMC, ACE Group, and the Royal College of Nursing. I want to make sure that every treatment I deliver is backed by the latest knowledge and techniques in medical aesthetics.


To contact me directly, call me on 07413138825 or send me a DM on Facebook or Instagram.


Frequently Asked Questions (FAQ) About Uneven Lip Fillers

1. Why do my lip fillers feel uneven after 6 months?

  • Over time, lip fillers naturally break down due to your body's metabolic processes. Factors such as skin elasticity, hydration, and movement (talking, eating) can cause the filler to wear down unevenly. It’s a normal part of the process, but adjustments like touch-ups can restore symmetry.

2. Can lip filler unevenness be fixed?

  • Absolutely! Uneven lip fillers can typically be addressed with a quick touch-up or the use of hyaluronidase, an enzyme that dissolves hyaluronic acid in specific areas. Your practitioner can restore symmetry and smoothness in just one appointment.

3. How long do lip fillers typically last before needing a touch-up?

  • Lip fillers generally last 6-12 months, depending on factors like the type of filler used, your skin’s natural metabolism, and lifestyle choices (e.g., smoking, sun exposure). After this period, most people choose to have a touch-up to maintain their desired appearance.

4. Can dehydration affect the appearance of my lip fillers?

  • Yes! Dehydration can make your lips appear less plump and more uneven, as your body’s ability to retain water affects how fillers behave. Staying hydrated helps keep your lips looking smooth and youthful.

5. What should I do if my lip filler feels lumpy or uneven after the first few weeks?

  • If lumps or unevenness persist after the first couple of weeks, it’s best to consult your practitioner. They may recommend a touch-up or the use of hyaluronidase to smooth things out.

6. Can aging affect the way my lip fillers look over time?

  • Yes, natural aging and changes in your skin’s elasticity can affect the results of lip fillers. Over time, your lips may lose volume or change shape, causing filler to settle unevenly. Regular touch-ups can help maintain the balance and volume you desire.

7. How can I prevent my lip fillers from becoming uneven?

  • While some unevenness is natural over time, staying hydrated, avoiding excessive sun exposure, and following aftercare instructions will help extend the longevity of your fillers. Regular touch-ups can keep your lips looking fresh and even.

8. Is it possible to get lip filler that lasts longer than 6 months?

  • Some newer fillers or alternative treatments, such as fat transfers or collagen stimulators, may offer longer-lasting results. Consult with your practitioner about the best option for your desired outcome.

9. How long does it take to see results from a lip filler touch-up?

  • After a touch-up, you’ll typically notice results immediately, though any swelling or minor bruising will subside within a few days. Your lips should return to a smooth, symmetrical appearance within a week.

10. When should I consult my practitioner about uneven lip fillers?

  • If the unevenness doesn’t resolve with a touch-up, or if you experience persistent swelling, discomfort, or changes that concern you, it’s always a good idea to reach out to your practitioner for further guidance.


References

Castellaneta, F., Lombardi, M., D’Antonio, S. and Fabrizio, T. (2025). The ‘4.3,’ A New Filler Lips Technique. Journal of cosmetic dermatology, [online] 24(1), p.e16601. doi:https://doi.org/10.1111/jocd.16601.


Coppini, M., Caponio, V.C.A., Mauceri, R., Pizzo, G., Mauceri, N., Lo Muzio, L. and Campisi, G. (2024). Aesthetic lip filler augmentation is not free of adverse reactions: lack of evidence-based practice from a systematic review. Frontiers in Oral Health, [online] 5. doi:https://doi.org/10.3389/froh.2024.1495012.


Ozturk, M.K. and Kibar Guzin, A.K. (2024). A Natural Flat Volumized Lips Filler Technique: Retrospective Analysis of 920 Patients. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], [online] 50(5), pp.453–458. doi:https://doi.org/10.1097/DSS.0000000000004128.



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