Lip Filler Top Lip Sticks Out: Measures for a Natural Look

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

When opting for lip fillers, a common concern is the top lip protruding or appearing too dominant post-treatment, often referred to as a “duck lip” look. This can be due to swelling, which is a normal part of the healing process, or it might be a result of overfilling or improper placement of the filler.

Typically, swelling should subside within a few weeks, and the lips should settle into their new shape. If the top lip continues to stick out, corrective measures such as hyaluronidase injections can dissolve the excess filler, restoring a more natural lip contour. It’s crucial to wait a sufficient amount of time post-procedure before seeking corrections to allow for complete healing and to avoid unnecessary treatments.

Addressing Concerns: When Top Lip Sticks Out

When the top lip sticks out after lip filler treatment, it can be a source of distress for patients. Understanding the reasons behind this occurrence and the available solutions is essential for achieving the desired aesthetic outcome.

Assessing Lip Proportions Post-Procedure

Top Lip Dominance and Symmetry: A harmonious balance between the upper and lower lips is key to a natural and aesthetically pleasing result. Post-filler, it’s not uncommon for the top lip to appear more prominent, especially if the swelling is uneven or if the filler has been over-injected. Evaluating the symmetry and dominance of the top lip involves considering the Golden Ratio, where the ideal proportion between the upper and lower lip is roughly 1:1.6. However, this can vary based on individual facial structure and personal preferences. If the top lip appears excessively dominant, it may detract from the overall facial harmony, signaling the need for a professional assessment and potential corrective action.

Role of Natural Lip Anatomy and Filler Placement: The natural anatomy of one’s lips plays a significant role in the outcome of filler treatments. Factors such as the inherent volume, shape, and contour of the lips can influence how the filler integrates and settles. Additionally, the technique and precision of filler placement are crucial. Strategic placement can enhance the lips’ natural contours without causing the top lip to protrude unnaturally. An experienced injector will consider these anatomical aspects and adapt the treatment to complement the patient’s unique features, ensuring a balanced and proportionate result.

Corrective Measures for Unwanted Results

When to Seek Correction: Timeline After Initial Treatment: If the top lip remains disproportionately prominent after the expected healing period, typically two weeks to a month, it may be time to consider corrective measures. It’s important to allow sufficient time for any swelling to go away and for the filler to settle before making a decision. If the top lip still sticks out, a consultation with the original injector or a second opinion from another professional can provide insight into the best course of action. Options for correction include the use of hyaluronidase to dissolve the filler, additional filler injections to balance the lips, or other techniques such as a lip flip. The timeline for seeking correction should be guided by the persistence of the issue and the patient’s desired outcome.

Techniques for Correction: Hyaluronidase, Additional Filler, and Lip Flip: When lip filler results are not as desired, with the top lip sticking out or asymmetry present, several corrective techniques can be employed. Hyaluronidase is an enzyme that dissolves hyaluronic acid-based fillers, effectively reversing the effects of the initial treatment. This option is ideal for those seeking to return to their pre-filler lip contour. For subtle adjustments, additional filler can be strategically placed in the lower lip or other areas to restore balance. The lip flip, a technique involving the injection of a neuromodulator like Botox, can relax the muscles around the lip, allowing the lip to curl outward subtly, which can correct the appearance of the top lip sticking out. Each method has its indications and should be chosen based on individual cases and desired outcomes.

Frequently Asked Questions

Is it possible to achieve a natural look with lip fillers if my top lip sticks out?

Absolutely, an experienced injector can tailor the treatment to enhance your lips while maintaining a natural look.

How can I prevent the "duck lip" look after getting fillers?

Choose an experienced injector and communicate your aesthetic goals clearly to avoid overfilling and ensure proper placement.

Is it normal for the top lip to stick out after fillers?

Some initial protrusion is normal due to swelling, but it should not persist beyond the healing period.

Can lip filler migration be corrected without dissolving the entire filler?

Yes, targeted application of hyaluronidase can dissolve only the migrated filler, preserving the rest.

How can I prevent my top lip from sticking out after fillers?

Discuss your concerns with your injector; they can use techniques to ensure a balanced and proportionate result.

Is it normal for the top lip to protrude immediately after filler treatment?

Immediate protrusion can occur due to swelling and should resolve as the swelling subsides.

What should I do if my top lip still sticks out after two weeks?

If the issue persists, consult with your injector for a possible correction.


Lip fillers can significantly enhance the aesthetics of your lips, but it's crucial to have realistic expectations and communicate clearly with your injector. While some swelling is normal immediately after the procedure, it should not be permanent. If you're unsatisfied with your results or experience issues like migration, there are corrective options available. Always seek treatment from a qualified and experienced professional to ensure the best possible outcome for your lip filler procedure.

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Luthra A. (2015). Shaping Lips with 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.