Patients often visit Dr.Tak saying "I don't know exactly what was injected." Their lips have gradually hardened, become painful, and changed shape — making it difficult to look in the mirror. Examination often reveals tissue heavily adhered to the foreign substance, with granulomas formed. This is the most challenging area, but also where patient suffering is greatest.

Ideal Candidates

Patients suffering side effects from past unknown injections, those with severely hardened or deformed lips, those with recurring pain or inflammation. "It doesn't hurt, so it must be fine" is a common misconception — absence of pain doesn't mean absence of problem. Frequent lip cracking alone can already be an abnormal signal due to compromised blood circulation.

Surgical Approach — Staged & Customized

Because the exact composition of the substance is often unknown and the spread is difficult to predict, pre-op precision diagnosis is paramount. For safety, we often perform staged removal — when removing all foreign material at once is risky or impossible, we proceed in multiple sessions. Granuloma areas are removed along with inflammatory tissue, and substance spread to surrounding areas is removed within possible scope.

Removal → Reconstruction → Aftercare in One System

Removal isn't the end. Because some tissue is removed alongside the foreign material, lip shape and volume change. Reconstruction via mucosal advancement may be needed. Until the day you return to natural lips, we are committed to scar management, taping, and laser care — this is Dr.Tak's one-stop system.