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

Smiling Lip Creases After Lip Filler. Why Lip Filler Can Change Your Smile

Lip fillers are one of today’s most popular treatments for fuller, more defined lips.
But sometimes, people notice something unexpected after treatment, smiling lip creases.

If your smile looks different or you’ve developed little lines around your lips post-filler, you’re not alone. These folds can appear for several reasons, but the good news is they’re temporary and fixable with the right care.

Smiling lip creases after lip filler treatment at Express Med Spa Illinois
A client showing natural results after lip filler at Express Med Spa. Minor smiling creases can appear temporarily and are easily corrected by skilled injectors.

Smiling Lip Creases After Lip Filler. Lip Filler Cause Smiling Lip Creases?

Sometimes, but not always.
It depends on your filler type, lip structure, and injection technique.

Here’s what can make smiling lip creases more likely:

  • Overfilled Lips: Too much filler can push against natural folds, exaggerating creases.
  • Filler Migration: If the product spreads beyond the intended area, it can alter how your lips move.
  • Natural Lip Structure: Everyone’s anatomy is different; fillers can accentuate pre-existing folds.
  • Poor Technique: Incorrect placement can lead to uneven filler distribution or visible lines.

💡 Pro Tip: Choose an injector who understands facial movement and symmetry.
At Express Med Spa, our clinicians specialize in natural, balanced results that move with your expression, not against it.


What Is Lip Filler?

Lip filler is an injectable hyaluronic acid (HA) treatment designed to enhance volume, shape, and hydration.
Common brands include Juvederm®, Restylane®, and Belotero Balance®.

Because HA is naturally found in your body, these fillers are biocompatible, reversible, and safe when performed by a trained medical professional.

In some cases, combining lip filler with a neuromodulator like Xeomin® or Botox® helps relax surrounding muscles to prevent creases and support a softer, more natural smile.


Benefits of Lip Filler

  • Fuller lips with balanced proportions
  • Improved lip symmetry and definition
  • Enhanced hydration and smoothness
  • Long-lasting results (6–12 months)
  • Minimal downtime and quick recovery

Most clients love their results—but understanding how to avoid post-filler creases ensures your smile stays as beautiful as your lips.


Possible Side Effects of Lip Filler

Lip fillers are safe when injected by a licensed professional. However, mild and temporary side effects can occur.

Common Side Effects

  • Slight swelling or redness (1–3 days)
  • Tenderness or bruising at the injection site
  • Mild unevenness that settles within a week

Less Common Side Effects

  • Filler migration (causing uneven texture or creases)
  • Overfilling leading to folds when smiling
  • Asymmetry from uneven filler distribution
  • Allergic reaction or infection (rare)

What Causes Lines or Folds After Lip Filler?

  1. Overfilled or Uneven Distribution: Too much filler can distort natural folds.
  2. Filler Migration: Product may shift slightly due to muscle movement.
  3. Dehydration: Dry lips exaggerate lines.
  4. Aging or Skin Elasticity Loss: Reduced collagen makes creases more visible.
  5. Smoking or Frequent Puckering: Repeated muscle motion deepens lines.

💧 Hydration Tip: Drink water and use a hyaluronic-based lip balm daily to maintain filler suppleness.


Licensed aesthetic injector performing lip filler treatment to prevent smiling creases
A licensed aesthetic injector at Express Med Spa carefully applies hyaluronic acid lip filler to enhance shape while preventing folds and creases when smiling.

How to Fix Lip Filler Folds or Creases

1. Gentle Massage (If Approved)

Your injector may advise light massage to help the filler settle smoothly, only do this under professional guidance. It can aid in not developing smiling lip creases after lip filler.

2. Dissolve the Filler

If creases persist, your injector can use hyaluronidase to safely dissolve the filler and start fresh.

3. Add Small Touch-Ups (Strategically)

Sometimes, a minor correction can balance uneven filler and smooth folds.
Less is more when refining lip volume.

4. Wait It Out

Swelling and minor folds often resolve as the filler integrates—typically within 1-2 weeks.

5. Choose a Skilled Injector

The best solution is prevention. A professional with advanced injection training understands how to map your smile lines and use filler precisely.

According to the American Society for Dermatologic Surgery, proper technique and aftercare are key to minimizing filler migration and smiling creases.


Dos and Don’ts for Smooth Lip Filler Results

Dos

  • Choose a qualified injector
  • Follow aftercare instructions carefully
  • Hydrate daily for soft, supple lips
  • Be patient—results refine over time
  • Use SPF on lips to prevent premature aging

🚫 Don’ts

  • Don’t overfill—less gives a more natural look
  • Don’t massage excessively unless advised
  • Don’t use harsh lip scrubs right after treatment
  • Don’t panic—minor folds often settle naturally
  • Don’t visit unlicensed injectors or bargain deals

Learn how to prepare for lip filler for best results.


FAQs

Why do I have a crease next to my lip after filler?

It may be due to filler migration, muscle movement, or overcorrection. Usually, it resolves within 2 weeks.

Why does my smile look weird after lip fillers?

Swelling can temporarily change your smile. Once your filler settles, movement will normalize.

Do lip filler folds go away?

Yes. Most folds fade naturally as the product integrates into the tissue.

Why does my top lip fold when I smile?

Your muscle dynamics and filler placement influence this. It’s usually temporary and fixable with minor adjustments.

Bottom Line

Lip fillers shouldn’t change your smile, they should enhance it.
If you notice creases or folds, it’s often temporary and correctable.

Before and after correcting smiling lip creases with filler adjustment at Express Med Spa
Before-and-after results showing correction of smiling lip creases after filler. Small adjustments or dissolving treatment create smooth, natural lips.

At Express Med Spa, our licensed nurse practitioners and aesthetic injectors focus on precision and artistry to help your lips look natural, confident, and smooth.

📍 Visit us in La Grange, Frankfort, Mount Greenwood (Chicago), or Shorewood, IL.
📞 Call/Text: (877) 363-3772
💻 Book Online at expressmedspas.co


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Stefanie Drozd, APRN
Founder & Nurse Practitioner
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