Do You Have To Keep Getting Lip Fillers: Myths and Realities

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Lip fillers, a popular cosmetic treatment, offer a temporary solution for those seeking fuller, more voluptuous lips. The question of whether one must continually get lip fillers depends on various factors, including the type of filler used, individual metabolism, and aesthetic goals.

Generally, fillers are not permanent, with most lasting between 6 to 18 months. Over time, the body naturally metabolizes the filler, and the lips gradually return to their original state. Regular maintenance is required to preserve the desired volume, but stopping treatments will not result in worse-off lips than before. It’s a myth that fillers accelerate aging or permanently stretch the lips, as long as they are not overfilled.

The Decision to Continue or Stop Lip Fillers

Choosing whether to continue or stop lip filler treatments is a personal decision that depends on individual preferences, lifestyle, and the natural aging process.

Continuing Regular Injections

Aesthetic Preferences and Trends: The decision to continue with lip fillers often aligns with personal aesthetic preferences and current beauty trends. Full, voluminous lips have been a sought-after feature for many, influenced by celebrity culture and social media. As trends evolve, so do the desired outcomes of lip enhancements. Some individuals opt for subtle changes to maintain a natural look, while others may seek more dramatic results to align with the latest beauty standards. The flexibility of filler treatments allows for adapted results that can adapt to changing trends and personal tastes.

Maintaining a consistent look requires regular injections, as the body naturally metabolizes the filler. The frequency of treatments can vary based on the type of filler used and how one’s body responds to it. Regular maintenance ensures that the desired lip volume is preserved, and adjustments can be made during each session to refine the shape and achieve the ideal aesthetic outcome. This approach allows for continuous enhancement and the ability to respond to any changes in personal preference or facial structure over time.

Discontinuing Lip Fillers

Natural Aging vs. Filler-Induced Changes: When considering discontinuing lip fillers, it’s important to distinguish between the natural aging process and the changes induced by fillers. As we age, our lips naturally lose volume and develop lines, a process that fillers can temporarily prevent. If one decides to stop filler treatments, the lips will gradually return to their natural state, reflecting the typical signs of aging rather than any negative effects from the fillers themselves. It’s a common misconception that stopping fillers will worsen aging signs; in reality, the lips will simply resume their natural aging trajectory.

Myths and Realities of Lip Filler Discontinuation: There are several myths surrounding the discontinuation of lip fillers, including the belief that lips will sag or become excessively wrinkled after stopping treatments. In reality, once the effects of the filler wear off, the lips will not look significantly different from their pre-treatment appearance. The aging process will continue as it would have without fillers, and any perceived acceleration of aging is likely due to the natural progression of time. It’s crucial to have realistic expectations and understand that fillers offer a temporary enhancement rather than a permanent alteration to one’s appearance.

Potential for Permanent Stretching: Concerns about permanent stretching from lip fillers are common, yet largely unfounded. The elasticity of lip skin allows it to expand and contract around the filler material. When administered correctly and in moderation, fillers do not stretch the lips permanently. Excessive use of fillers, however, can lead to unnatural stretching if the lips are overfilled beyond their capacity. It’s crucial to seek treatments from skilled professionals who understand the appropriate volumes for a natural look and to avoid the temptation of excessive enhancement that could potentially alter the lips’ natural structure.

Reversibility and Returning to Natural Lips: One of the appealing aspects of hyaluronic acid-based lip fillers is their reversibility. An enzyme called hyaluronidase can be used to dissolve the filler, allowing patients to return to their natural lip appearance if they choose to discontinue treatments. This process is typically quick, with results visible shortly after the enzyme is administered. For those who let the filler naturally metabolize, the lips will gradually deflate to their pre-filler state, reflecting the natural contours and volume of the lips prior to treatment.

Frequently Asked Questions

How often should I get lip fillers to maintain results?

To maintain results, lip fillers typically require touch-ups every 6 to 12 months, depending on the type of filler and individual metabolism.

Will my lips sag if I stop getting fillers?

No, stopping filler treatments will not cause your lips to sag; they will gradually return to their pre-filler state.

Can stopping lip fillers after long-term use cause sagging?

Lips are unlikely to sag from stopping fillers, even after long-term use; they will revert to their natural aging process.

Are there any long-term benefits to getting lip fillers?

Lip fillers can stimulate collagen production, which may offer some long-term benefits to the appearance and texture of the lips.

Can lip fillers become less effective over time?

Lip fillers do not become less effective over time, but the body's response and aesthetic trends may change the perception of effectiveness.

Is it possible to achieve a natural look with lip fillers?

Yes, a natural look can be achieved with lip fillers by using appropriate volumes and techniques tailored to the individual's features.

Are there any long-term consequences of repeated lip filler use?

When administered properly, there are typically no severe long-term consequences, but there is a risk of granulomas or scar tissue formation.

How does the body react to different types of lip fillers over time?

The body naturally metabolizes hyaluronic acid fillers over time, while reactions to other types can vary and should be discussed with a healthcare provider.


Lip fillers offer a temporary, customizable solution for enhancing lip volume and shape. While they require maintenance and carry potential risks, when administered by a skilled professional, they can provide a safe and effective way to achieve desired aesthetic goals. It's important to have realistic expectations, follow aftercare instructions, and maintain open communication with your provider to ensure the best possible outcome.

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Diwan, Z., Trikha, S., Etemad-Shahidi, S., Parrish, N., & Rennie, C. (2023). Evaluation of Current Literature on Complications Secondary to Lip Augmentation

Edwards, P. C., & Fantasia, J. E. (2007). Review of long-term adverse effects associated with the use of chemically-modified animal and nonanimal source hyaluronic acid dermal fillers.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.