Dr. Burak GümüşçüAesthetic & Health Technologies
Dermal Filler

5 min read

First Time Lip Filler: A Step by Step Map

First time lip filler: what is discussed beforehand, what happens on the day and what follows? A plain guide to the subject for anyone weighing it up.

What helps most with a first time lip filler is not a product name but the order of the process: what is discussed beforehand, what happens on the day, what follows and which findings get reported. This article sets that order out end to end and names the mistake made most often at a first treatment.

What is discussed beforehand?

Short answer: The assessment asks about health history, medicines in use, allergy and cold sore history, pregnancy and any previous treatments. The lip is then assessed together with the tissue around it.

The history carries more weight than people expect. If a treatment was done elsewhere, which product was used, when it was done and what result followed all feed directly into the plan.

Medicines and supplements with a blood-thinning effect are asked about separately. That affects the chance of bruising, so it needs to be known from the start.

Finally the expectation itself is discussed. Describing the look being aimed at rather than what you want produces a far more accurate plan.

How is the target set?

The lip is not assessed on its own. The length of the upper lip, the tissue support around it, the smile line and the existing proportion are all weighed together.

That is why showing a photograph carries limited information. The same look does not give the same result on a different face, and forced, it can produce something that reads as unnatural.

Working in stages is commonly preferred at a first treatment. Rather than going to the target look in one session, the result is allowed to settle and then reviewed.

How the amount is decided sits in how many ml of lip filler.

What happens on the day?

Short answer: The area is cleaned, a topical anaesthetic is applied where needed and the product is placed according to the plan. Pressure and a feeling of fullness are described during the procedure.

You should be told what product is going to be used. Licensing of medical products and devices in Türkiye sits with TİTCK, and seeing the box and its expiry date is entirely your right.

Having the packaging opened in front of you is ordinary practice too. Asking for that is not a sign of distrust but a standard patient right.

Who will carry out the treatment is another thing to know from the outset. A treatment involving injection is a medical procedure and managing complications requires medical training.

What follows?

Swelling, tenderness and sometimes bruising are described in the first days. The lip sits both fuller and tighter, and that appearance is not the result.

The marked phase is measured in days while the appearance settling takes longer. That is why the treatment is best not placed right before an important date.

Intense exercise, hot environments and alcohol are postponed in the first days; all of them make swelling more marked. The clinic gives its own instruction at the end of the session, and that comes before any general rule. The detail of the course sits in how long lip filler swelling lasts.

What is the most common mistake?

Short answer: Judging by what you see in the first days. An assessment made before the swelling recedes leads either to an unnecessary request for more or to misplaced dissatisfaction.

The second is going to the whole target look in the first session. The simplest way to avoid an outcome that is hard to undo is working in stages and reviewing in between.

The third is massaging the area on your own or prodding it with a finger. Because it can move the product, that decision stays with the practitioner's instruction.

Which findings are reported?

Increasing and throbbing pain, blanching of the skin, a colour change other than bruising, spreading redness and fever are not expected findings.

What separates them is direction and timing. Expected findings are marked in the first days and recede; the ones needing reporting increase or appear later.

Reporting beats waiting here. How to reach the clinic is told to you at the end of the session and you should not leave without it. What a consultation covers sits in lip filler consultation, and the clinic's framework on the lip filler page.

Frequently asked questions

Does it hurt? A topical anaesthetic is generally applied and what is described during the procedure is mostly pressure and a feeling of fullness. Because the lip is a sensitive area the experience varies between people. If you feel uncomfortable, saying so during the procedure helps more than describing it afterwards.

What should I do beforehand? If you use medicines or supplements with a blood-thinning effect, say so at the outset; the decision to pause them belongs to the doctor rather than to you. Avoiding alcohol before the day can reduce the chance of bruising. If there is an active lesion in the area the session is postponed.

What if I do not like it? Most of the products used are reversible and a dissolving option can be discussed where needed. That is not a reason to be bold in a first session, though. Working in stages and reviewing in between remains the simplest way to avoid an outcome that needs undoing.

Can I go back to work the same day? Most people carry on with their day, but visible swelling can appear in the first days and this varies between people. Intense exercise, hot environments and alcohol are postponed early on. If there is an important date coming up, not placing the treatment before it is the easier option.


If you would like to talk through what could be aimed at in a first treatment, the consultation reviews the tissue and your history together.

This article is for general information and is not medical advice. Assessment and treatment decisions follow a medical examination; results vary between individuals.

References

  1. Before you have a cosmetic procedure — NHS
  2. Fillers: overview — American Academy of Dermatology
  3. Turkish Medicines and Medical Devices Agency (TİTCK)