Experiencing dry lips after getting lip fillers is a side effect that, while not widely discussed, can be a significant concern for some individuals. Unlike the typical chapped or flaky lips, this dehydration can persist for up to a month, making it difficult to focus on anything other than constant lip balm application. Despite undergoing lip injections multiple times with various fillers over several years, this parchedness has occurred consistently, necessitating the preparation of hydrating lip products to combat the issue.
The Unexpected Phenomenon of Post-Lip Augmentation Dryness
It appears that post-lip augmentation dryness is a peculiar phenomenon that patients often do not discuss with their dermatologists. Many, like the author, might assume the chapped feeling is a normal consequence and refrain from mentioning it. However, dermatologists generally report that dryness experienced after lip fillers is rare.
Expert Opinions on Lip Filler Side Effects
Dermatologists interviewed for this article expressed surprise at the occurrence of post-filler dryness. Arash Akhavan, a New York City-based board-certified dermatologist, stated he had "never heard of this happening" despite treating thousands of lips. Similarly, Patricia Wexler, another New York City-based board-certified dermatologist, noted it was the "first time anyone has ever complained about it" and that she had "never heard it from one patient."
Typical Reactions vs. Dryness
The conventional expectation after lip injections is the opposite of dryness. Fillers, such as Juvéderm Volbella XC and Restylane, are primarily composed of hyaluronic acid, a substance naturally present in the skin that attracts water. Consequently, lips typically become more hydrated post-treatment. Dr. Wexler corroborated this, explaining that most patients report their lips feeling moist due to the "infusion of hyaluronic acid" from the injections.
Potential Causes of Post-Filler Dryness
While the exact cause remains elusive for many, several theories have been proposed:
1. Sensitivity to Numbing Cream
Dr. Akhavan suggested that the dryness could be attributed to a sensitivity to the topical numbing cream used prior to the injections. The potency of some numbing agents can be quite high, leading to potential irritation that might manifest as dryness, though it is unusual for such irritation to last for an extended period.
2. Swelling and Skin Stretching
Shari Marchbein, a board-certified dermatologist, proposed that patients who experience more significant lip swelling might be more prone to peeling or dryness. She explained that as the lips swell and stretch due to filler placement, the top layer of skin can become dry and peel, similar to an inflammatory reaction in the skin. The author recalled experiencing noticeable swelling the day after her injections, likening her appearance to Kris Jenner's famed allergic reaction.
3. Alteration of Lip Barrier Function
Dr. Wexler offered a compelling explanation, particularly when the dryness was localized to the center of the lips. She theorized that plumping the center area might shift tissue that was previously an "interior, wet part of my lip" to an "exterior, dry area" exposed to the air. This change can disrupt the natural barrier function of the moist lip tissue. It is believed that over approximately 28 days, as skin cells regenerate, this exposed area should re-acclimate and regain its moisture. To aid this process, consistent application of lip balm is recommended to compensate for the lack of natural moisture.
4. Lip Licking and Matte Lip Products
Dr. Wexler initially considered lip licking as a potential cause, noting that discomfort from bruising might lead some individuals to lick their lips more frequently, which can cause dryness. However, this theory was negated by the author, who does not lick her lips. Another theory involved the increased use of matte lipsticks. While some patients might play with their newly enhanced lips, the author actively avoids lipstick due to the painful chapped feeling. Dr. Wexler also cautioned that even some lip glosses, if not formulated with emollient ingredients, can be drying, and it's important to consider the type of lip products being used.
Remedies for Dry Lips After Fillers
Despite the varied explanations, effective strategies exist to soothe and treat post-filler dryness:
1. Occlusive Balms and Ointments
Dr. Marchbein recommends the frequent application of a "thick, bland ointment" such as Aquaphor or Vaseline. These products not only keep the lips hydrated but also help prevent lip licking.
2. Moisturizing Lip Balms
Dr. Wexler suggests coating the lips with a balm rich in moisturizing ingredients like vitamin E or shea butter, followed by an occlusive ointment. Popular choices include Burt's Bees Beeswax Lip Balm and Kiehl's Lip Balm #1. Other effective options mentioned include Innisfree My Lip Balm and Sweet Chef Sugarcane + Vitamin E Lip Sleeping Mask.
3. Lip Oils
Lip oils are also favored for post-lip injection dryness, offering nourishing oils and a glossy finish that complements newly plumped lips.
