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A 20yo Russian female patient was referred to Ailesbury with nodular swellings in her labial area for a period of over two years. She reported a history of their lips having being injected with the cosmetic filler BioAlcamid at the site of the swelling to correct and project her labial profile. Her referral letter stated a 23G needle had been used to inject the compound and entrance was made 0.5cm medial to the oral commissure with infiltration done along the vermilion border. Each hemilip was injected with a maximum of 0.6ml of BioAlcamid.