How Often Do You Need Lip Fillers Topped Up: Maintenance

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

Lip fillers, a popular cosmetic treatment for enhancing lip volume, typically require top-ups every six months to maintain their plump appearance. Over time, the body naturally metabolizes the filler, leading to a gradual decrease in volume.

To preserve the desired look, it’s essential to schedule regular maintenance sessions. Factors such as metabolic rate, type of filler, lifestyle, and individual absorption rates influence how long the results last. By sticking to aftercare advice, choosing the right type of filler, maintaining a healthy lifestyle, and protecting lips from the sun, you can optimize the longevity of your lip fillers.

Optimal Timing for Lip Filler Maintenance

Striking the right balance in lip filler maintenance is key to achieving enduring, natural-looking results. Regular assessments and understanding the signs of filler degradation can guide the timing of your top-up sessions.

General Guidelines for Top-Up Frequency

Initial Top-Up After the First Treatment: The first top-up after your initial lip filler treatment is a vital step in establishing your routine. Typically, this initial top-up is recommended within 6 to 12 months of the first session. This timeframe allows for any swelling to subside and for the filler to fully integrate with the lip tissue, providing a clear picture of the results. The initial top-up not only refreshes the volume but can also enhance the shape and contour achieved with the first treatment. It’s an opportunity to fine-tune the results and ensure satisfaction with your lip aesthetics.

Subsequent Top-Up Intervals: After the initial top-up, subsequent sessions are typically spaced out further, with many individuals finding that intervals of 12 to 18 months work well. This schedule can be adjusted based on how one’s body responds to the filler. Some may find that their results last beyond the 18-month mark, while others may require more frequent visits to maintain their desired lip volume. It’s important to monitor the lips’ appearance and feel, as these will be the most reliable indicators of when a top-up is needed. Regular check-ins with your aesthetic practitioner can help establish a personalized schedule that aligns with the longevity of your specific filler and the natural rate of absorption by your body.

Personalized Scheduling for Top-Up Sessions

Individual Metabolism and Lifestyle Considerations: Personalized scheduling for lip filler top-ups should take into account the unique aspects of an individual’s metabolism and lifestyle. Factors such as age, hormonal fluctuations, and physical activity levels can all influence how quickly the body metabolizes the filler. Additionally, external factors like sun exposure, smoking, and diet can affect the durability of lip fillers. An adapted top-up schedule will consider these personal attributes and habits, ensuring that lip enhancement remains consistent with the individual’s aesthetic goals and lifestyle.

Consultation and Assessment by Aesthetic Practitioners: A thorough consultation and assessment by a qualified aesthetic practitioner are essential for creating a personalized top-up schedule. During these sessions, practitioners evaluate the current state of the fillers, discuss the client’s satisfaction with the results, and consider any changes in health or lifestyle that might affect filler longevity. This collaborative approach allows for adjustments to the treatment plan, ensuring that each top-up session contributes to the overall vision for the client’s lip aesthetics. Regular assessments also provide an opportunity to address any concerns and to make informed decisions about the timing and extent of future treatments.

Recognizing the Signs for a Top-Up

Decrease in Volume and Definition: One of the most apparent indicators that it’s time for a lip filler top-up is a noticeable reduction in volume and definition. Initially, after receiving fillers, lips appear full and contoured, with a clear definition between the lip border and the surrounding skin. As the filler begins to metabolize, this pronounced effect starts to fade away. You might observe that your lips no longer have the same plumpness or that the Cupid’s bow is less defined. These changes are a signal that the filler is diminishing and a top-up may be necessary to restore the desired aesthetic.

Assessing Lip Texture and Firmness: Another sign that lip fillers are wearing off is a change in the texture and firmness of the lips. When fillers are at their peak, lips often feel firmer and smoother to the touch. As the body absorbs the filler material, you may notice your lips becoming softer and the surface texture may revert to its pre-filler state. If the lips start to feel less supple or if fine lines reappear, these are cues that the filler’s effect is lessening and a top-up could be beneficial.

Changes in Lip Texture: Beyond volume and firmness, the texture of your lips can also indicate the need for a filler top-up. Initially, lip fillers can help smooth out fine lines and give the lips a more uniform, hydrated appearance. Over time, as the filler breaks down, the natural texture of the lips can resurface, including the return of vertical lip lines or a less smooth overall feel. If you notice these textural changes, it may be time to consider scheduling a top-up appointment.

Frequently Asked Questions

How often should I expect to get lip fillers redone for a consistently plump look?

To maintain a consistently plump look, lip fillers typically need to be redone every six to twelve months, depending on individual factors and the type of filler used.

Can lifestyle changes really extend the life of my lip fillers?

Yes, lifestyle changes such as avoiding excessive sun exposure, maintaining a healthy diet, and reducing stress can help extend the life of your lip fillers.

What are the signs that my lip fillers need topping up?

Signs that lip fillers need topping up include decreased volume, less definition, and the return of natural lip lines and wrinkles.

How does the type of filler impact the frequency of top-ups?

The type of filler impacts top-up frequency as some fillers are designed to last longer than others; thicker, more cross-linked fillers generally require less frequent top-ups.

How can I make my lip fillers last longer?

To make lip fillers last longer, follow aftercare instructions, protect your lips from UV rays, maintain a healthy lifestyle, and choose a filler suited to your needs.

Is there a difference in top-up frequency between different types of fillers?

There is a difference in top-up frequency between different types of fillers; some are formulated to last longer and therefore require less frequent top-ups.

Is it safe to have lip fillers topped up before the recommended period?

It is generally safe to have lip fillers topped up before the recommended period, but it's best to consult with your aesthetic practitioner to ensure optimal results and safety.


Lip fillers are a commitment to enhancing and maintaining your desired lip volume and shape. Understanding the factors that affect filler longevity, recognizing when top-ups are needed, and adhering to a personalized maintenance schedule are key to achieving lasting results. By combining professional advice with healthy lifestyle choices, you can enjoy the benefits of lip fillers while ensuring your lips remain healthy and beautiful.

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Czumbel, L. M., Farkasdi, S., Gede, N., Mikó, A., Csupor, D., Lukács, A., Gaál, V., Kiss, S., Hegyi, P., & Varga, G. (2021). Hyaluronic Acid Is an Effective Dermal Filler for Lip Augmentation: A Meta-Analysis.

Rho, N. K., Goo, B. L., Youn, S. J., Won, C. H., & Han, K. H. (2022). Lip Lifting Efficacy of Hyaluronic Acid Filler Injections: A Quantitative Assessment Using 3-Dimensional Photography.

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.