Client smiles during a customized skincare consultation at Express Med Spa, highlighting lip filler and wellness treatments.

Lip fillers are everywhere, and for good reason—they help you get fuller, more defined lips. But let’s be honest, while most people love their results, some notice something unexpected: smiling lip creases. If you just got a lip filler injection and wonder why your smile looks different or those little lines appear, you’re not alone.

So, does getting lip filler cause people to have creases in their smiling lips? The short answer: sometimes. It really depends on the technique, the type of filler used, and how your lips naturally move. 

But don’t stress—we will break it all down and give you some practical tips to prevent and fix smiling lip creases so you can get the best results.

Does Lip Filler Cause People to Have Smiling Lips Crease?

It can, but it’s not guaranteed. Here’s why it might happen:

  1. Overfilled Lips: If there’s too much filler, it can push against natural lip folds, making creases more obvious.
  2. Filler Migration: Sometimes, the filler spreads beyond the target area, which can change how your lips fold when you smile.
  3. Your Natural Lip Structure: Some people have lip creases that lip fillers affect by highlighting instead of smoothing them out.
  4. Poor Injection Technique: A skilled injector can place filler to enhance your lips without causing unwanted folds.

The key here? Go to an experienced injector—like the ones at Express Med Spa Chicago—to ensure your filler is placed correctly for a natural look.

What Is Lip Filler?

Lip filler is a dermal, anti-aging treatment that uses a hyaluronic acid-based injectable to add increasing the volume, shape, and hydration to lips. The most common brands are Juvederm and Restylane. Since hyaluronic acid is naturally found in your body, these fillers are safe, effective, and even reversible if needed.

In some cases, combining lip fillers with xeomin or botox around the mouth can help reduce the appearance of wrinkles while maintaining a smooth, natural expression. Additionally, understanding how facial muscles interact with filler can help ensure balanced, harmonious results that complement the shape of your face.

For those who prefer non-invasive options, topical treatments and skincare products can provide subtle lip plumping, but they won’t deliver the same level of facial rejuvenation as injectable fillers.

Benefits of Lip Filler

Close-up of a client receiving lip filler at Express Med Spa to enhance volume and define lips for a youthful, rejuvenated look.
Expert lip filler treatment enhances natural volume at Express Med Spa.

Lip fillers are a popular choice for enhancing lips, and they aren’t just for adding size. Here’s what they can do:

  • Plumper lips without looking overdone
  • More defined shape and better lip symmetry
  • Hydrated, smoother lips that don’t feel dry or chapped
  • Long-lasting results that stay for 6-12 months
  • Minimal downtime so you can get back to life quickly

Most people are happy with their results, but some notice creases or folds when they smile after lip filler. That’s why knowing how to prevent and fix them is good.

Possible Side Effects of Lip Filler

Lip fillers are generally safe, but side effects can happen. Here’s what to look out for:

Common Side Effects:

  • Swelling and bruising (this usually fades in a few days)
  • Tenderness around the injection sites
  • Small lumps or uneven texture (which often smooths out on its own)

Less Common Side Effects:

  • Filler migration, which can cause uneven lips or creases
  • Smiling lip creases if filler is placed incorrectly
  • Asymmetrical lips if the filler settles unevenly
  • Allergic reactions or infections (rare, but possible)

Wondering can you get lip filler while pregnant? Check out our article for more information.

The best way to avoid these? Choose a reputable injector like the pros at Express Med Spa, who use the latest techniques for natural-looking results.

What Causes the Lines on Your Lips?

A few things can cause lip creases and lines:

  1. Aging: We lose collagen as we age, which leads to wrinkles and fine lines.
  2. Smoking: Constant puckering can deepen lip creases over time.
  3. Dehydration: Dry lips can develop lines, making creases more obvious.
  4. Too Much Filler: Overdoing it can create unnatural folds.

If you’re considering lip augmentation, it’s essential to talk to your healthcare provider to ensure the best approach for your desired results. 

The right lip filler procedure can increase volume and add volume naturally when they’re injected with precision by an experienced professional.

How to Get Rid of Lip Filler Folds

If you’re dealing with smiling lip creases, here’s what you can do:

1. Massage the Area

Lightly massaging your lips can help distribute the filler evenly. But don’t do this unless your injector says it’s okay. This can also minimize swelling and help the filler settle more smoothly.

2. Dissolving the Filler

If the creases are noticeable, hyaluronidase can dissolve the filler and give you a fresh start.

3. Adding More Filler (The Right Way)

Sometimes, a little extra dermal filler—strategically placed—can smooth things out instead of making them worse.

4. Wait It Out

A lot of these issues resolve themselves as the filler settles. Give it a couple of weeks before making any major decisions.

5. See a Skilled Injector

The best fix is prevention. Like those at Express Med Spa, a professional injector can help you avoid these issues altogether. If you’re considering lip fillers and Botox, choosing a skilled provider ensures balanced, natural-looking results.

Dos and Don’ts

Dos:

  • Go to an Experienced Injector – Someone with skill knows how to place filler without causing creases.
  • Follow Aftercare Instructions – This helps the filler settle properly.
  • Drink Plenty of Water – Hydration keeps your lips looking their best.
  • Be Patient – Your lips might take a couple of weeks to settle.
  • Use SPF on Your Lips – Sun damage can make lip lines worse.
  • Opt for Small Touch-Ups Instead of Overfilling – Less is often more.

Don’ts:

  • Don’t Overfill Your Lips – Too much filler can create folds and an unnatural look.
  • Don’t massage your lips too much. Only do this if your injector advises you to do so.
  • Don’t Go to a Cheap, Unqualified Injector – Bad results aren’t worth saving a few bucks.
  • Don’t Freak Out Right Away – Swelling and changes are normal for the first couple of weeks.
  • Don’t Use Harsh Lip Scrubs Right After Treatment – Your lips need time to heal.

If you’re unsure about your results, it’s best to book a follow-up with Express Med Spa for expert advice. Whether you’re looking to adjust the shape of your lips or enhance the volume of the lips, the right approach ensures natural, beautiful results.

FAQs

Why Do I Have a Crease Next to My Lip After Fillers?

It could be filler migration, overfilling, or just natural lip movement. Most of the time, it settles on its own.

Why Does My Smile Look Weird After Lip Fillers?

Your lips need time to adjust. The swelling and new volume can temporarily change your natural smile.

Do Lip Filler Folds Go Away?

Yes! Most creases fade as the filler settles. If not, your injector can fix them.

Why Does My Top Lip Fold When I Smile?

Your muscle movement and filler placement can temporarily affect how your lips move. This usually goes away as your lips adjust.

Bottomline

So, does lip filler cause people to have smiling lips crease? Sometimes, but it’s preventable! The key is choosing the right injector, getting the right filler, and taking good care of your lips after treatment.

At Express Med Spa, we focus on natural, beautiful results that enhance your lips without unwanted creases or folds. If you’re thinking about lip fillers or need a touch-up, book a consultation with us today and get the desired results!

Recommended Articles:

How Long Does Radiesse Filler Last?

How Often Should I Massage My Lips After Fillers?


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Stefanie Drozd, APRN
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