What filler can change
It can add a little volume to thin lips, redraw an outline that fades with age, rebalance one lip that is thinner than the other, lift drooping corners slightly and smooth the small vertical lines around the mouth. It can also simply hydrate, without adding volume. It does not change the shape of the teeth or jaw, and it cannot correct a mouth whose position depends on the bone.
Natural lips are about proportions
A successful mouth follows the face: usually the lower lip is slightly fuller than the upper, the Cupid’s bow stays defined, the distance between nose and lip is not distorted. Dr Zahid looks at the lips at rest but also while you talk and smile, because a volume that looks right from the front can sit too far forward in profile. It is better to start with little and add at the next session than to correct an excess.
How the session goes
It follows a consultation: examination of the lips and face, discussion of what you expect, choice of product (softer or firmer depending on the effect) and technique. A numbing cream is applied, and some products contain a local anaesthetic. Injections are made with a fine needle or a cannula, in small amounts, with regular reassessment. The session is short and you resume your activities the same day.
After the session: swelling, bruises, temporary asymmetry
Lips almost always swell more than the final result, sometimes unevenly: that is swelling, not the result. It settles in a few days. Small bruises are possible. A result judged too early is often misleading; the final shape shows once the swelling has gone down, and a touch-up can be done if needed. For 24 to 48 hours, avoid intense heat (hammam, sauna), intense exercise and massage of the area.
How long does the result last?
The lips are a very mobile area: the product usually resorbs faster there than in areas that move little, such as the cheekbones. Duration varies from person to person, from a few months to more than a year depending on the product and the amount. The result is maintained with small, spaced touch-ups, without overcorrecting. If you stop, the lips gradually return to how they were, with no after-effects.
Cold sores and precautions before the session
If you have a history of cold sores, say so: the injection can trigger one, and a preventive treatment can be discussed before the session. Also mention blood-thinning treatments, an infection or a spot on the area (the session is then postponed) and any known allergy. Filler is avoided during pregnancy and breastfeeding.
Safety: what you should know
Common effects are mild: swelling, redness, bruises, small irregularities that can be corrected. The most feared complication, a blocked blood vessel, is rare; it is prevented by knowing the anatomy, using small doses and being able to dissolve the product with hyaluronidase, which is always available at the clinic. Depending on the case, the clinic’s portable ultrasound can help locate vessels. Sharp pain, white or purplish skin or a change in vision require an immediate call.
Filler already done, too marked or uneven
Hyaluronic acid is reversible. Lips that are too full, a lump or an asymmetry can be corrected with a hyaluronidase injection, including filler done elsewhere; the filler dissolving page explains how. In some people, the plan is first to dissolve, then to reinject cleanly.
Where to have lip filler in Marrakech?
At the Skin & Aesthetic Clinic, in Guéliz, with Dr Sara Zahid, dermatologist, by appointment, in French, English or Arabic. The procedure is preceded by a consultation, and a detailed quote is given before any procedure, with no single price displayed.