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How to Fix a Hanging Lower Lip with Lip Fillers?

Medically reviewed by Jacob Sanchez, CRNA

Have you ever noticed that your lower lip droops slightly, even when your face is relaxed? This phenomenon, sometimes referred to as a “hanging lower lip,” can result from genetics, aging, or even lifestyle factors like smoking or dehydration.

The good news: Lip fillers can help restore structure and support to this area, making the lower lip appear more lifted and balanced.

Understanding a Hanging Lower Lip

A hanging lower lip typically occurs when the tissue, muscle tone, or skin elasticity around the mouth weakens. In many cases, the problem is due to:

  • Aging: As we age, collagen and elastin levels drop, leading to loss of volume and firmness.
  • Gravity: Over time, gravitational forces pull down the soft tissue, resulting in a droopy lip line.
  • Genetics: Some individuals naturally have a lower lip that protrudes or hangs slightly.
  • Lifestyle Factors: Chronic sun exposure, dehydration, and smoking can worsen sagging by damaging the skin.

One critical point to remember is that there’s no one-size-fits-all solution. Every face is unique, and the right approach depends on your personal lip anatomy. That’s why consulting with a skilled professional is essential.

The Role of Lip Fillers in Correction

Lip fillers are gel like substances, commonly composed of hyaluronic acid (HA), injected into the lips to add volume and support. 

HA is naturally found in the body and is valued for its moisture retaining and plumping abilities. By strategically placing filler in areas of deficit or sagging, we can:

  1. Lift and Shape: Targeted injections along the border or vermilion zone of the lower lip can provide subtle lift.
  2. Correct Asymmetry: Even out uneven lip lines and enhance proportions for a more balanced smile.
  3. Reinforce Support Structures: Add volume in areas lacking structural integrity, thereby reducing the appearance of a hanging lip.

If performed correctly, lip fillers do more than just “fill” tissue—they can re-sculpt and re-contour the area, making this a favored treatment for individuals seeking a non-surgical alternative.

How to Prepare for the Procedure

Being well-prepared is crucial for a smooth lip filler procedure. Below are some key recommendations to keep in mind:

  • Choose a Qualified Injector: Working with a board-certified dermatologist, plastic surgeon, or experienced cosmetic professional significantly reduces the risk of complications.
  • Avoid Blood Thinners: If possible, refrain from taking aspirin or anti-inflammatory medications (like ibuprofen) for at least a week prior to your appointment, unless advised otherwise by your doctor.
  • Minimize Alcohol Intake: Drinking alcohol can heighten the risk of bruising, so limit intake for 24 hours before your procedure.
  • Hydration and Nutrition: Keep yourself well-hydrated and consume a balanced diet to support healthy skin and tissue recovery.

Your provider may also conduct a facial assessment and gather medical history to ensure lip fillers are a safe option for you. 

This consultation is an excellent opportunity to express your concerns and desired outcomes so that your treatment plan can be tailored to your specific needs.

The Procedure Step-by-Step

Below is a simplified breakdown of what to expect during your lip filler appointment:

  1. Consultation and Planning
    Your injector will discuss your aesthetic goals, conduct an exam, and pinpoint the areas requiring correction. Photos may be taken for reference.
  2. Numbing
    A topical numbing cream or local anesthesia is often applied to minimize discomfort. Many modern fillers also contain lidocaine, reducing pain during the injections.
  3. Marking and Injection
    Your injector may mark target areas on your lower lip before administering small amounts of filler using a fine needle or cannula. The approach can vary depending on the degree of droop and the desired final look.
  4. Molding
    After injection, the injector might gently massage or mold the filler to ensure it integrates smoothly into the tissue, avoiding lumps or bumps.
  5. Immediate Assessment
    You’ll be able to see a preliminary result right away, although initial swelling is common.
  6. Aftercare Instructions
    Once the procedure is complete, you’ll receive guidance on caring for your lips to minimize bruising and swelling. This might include instructions on cold compresses, recommended sleeping positions, and hydration practices.

The entire appointment typically takes less than an hour, but plan some extra time in case you have questions or need a break.

Post-Procedure Care and Recovery

You can usually return to routine activities immediately, but you’ll want to keep the following tips in mind:

  • Cold Compresses: Applying a cold pack to your lips can help minimize swelling and bruising.
  • Limited Strenuous Activity: Try to avoid vigorous exercise for 24–48 hours to reduce the risk of excessive swelling.
  • Elevate Your Head: If possible, sleep with your head elevated for the first few nights.
  • Stay Hydrated: Drinking water supports overall tissue health and can help maintain filler longevity.
  • Avoid Excessive Touching: Refrain from touching or massaging the treatment area unless specifically instructed by your injector.

Most swelling and tenderness subside within the first week, leaving you with clearer insight into how the final result will look. If any concerns or complications arise, such as prolonged discomfort or unusual lumps, contact your provider immediately.

Popular Hyaluronic Acid Fillers

Below is a quick comparison of some commonly used hyaluronic acid fillers for lip enhancement:

Brand Texture Longevity Ideal Usage
Juvederm Ultra Smooth and Flexible 6–12 Months General lip volume and contour
Restylane Kysse Natural, Soft 6–9 Months Subtle lip shaping, dynamic expressions
Juvederm Volbella Thin, Subtle Up to 12 Months Fine lines around mouth, light lip volume
Restylane Silk Delicate, Silky 6–9 Months Soft lip enhancements, detailed definition
Belotero Balance Thin, Blends Well 6–9 Months Minor corrections, surface-level lines

Your provider will help you select a filler that matches your desired outcome. Each brand has its unique properties, and matching the correct filler to your needs is a key factor for success.

Potential Risks and Precautions

Like all cosmetic treatments, lip fillers carry potential risks, though most are mild and easily managed. These may include:

  • Swelling and Bruising: Temporary and often resolves within a few days.
  • Tenderness or Redness: Usually subsides as the area heals.
  • Lumps or Irregularities: Can be minimized with proper injection techniques and careful post-procedure care.
  • Allergic Reactions (Rare): Ensure you discuss any known allergies during your consultation.
  • Vascular Complications (Very Rare): If filler enters a blood vessel, it can lead to serious complications.

By seeking treatment from a qualified injector, following pre and post care instructions, and scheduling follow up appointments, you can significantly reduce these risks.

Conclusion

A hanging lower lip can subtly alter your appearance, making you look older or less vibrant than you feel. Lip fillers offer a straightforward, minimally invasive remedy, restoring both structural support and a youthful contour. With the right approach, fillers can provide a natural look that harmonizes with the rest of your facial features.

When choosing a provider, always prioritize qualifications and experience. A skilled injector will assess your individual facial anatomy, discuss realistic expectations, and recommend a filler tailored to your specific needs. By adhering to proper pre  and post-treatment guidelines, you stand to achieve beautiful results often in just one session.

Lip Fillers Treatment in Miami, FL

Don’t wait any longer to look the best version of yourself. Book your appointment today and take advantage of our Lip Fillers offers. Contact us to schedule your consultation and regain your trust!

Medically reviewed by

Jacob Sanchez, CRNA

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