Is It Common? Juvederm migration is exactly what it sounds like. In rare cases, facial fillers like Juvederm can migrate to another site of your face within a few days of your injections. This happens when the filler moves before it has fully bonded with your facial tissue.
Filler migration is the movement of a dermal filler from its injection site to another area of the body. While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector.
One of the common reasons why cheek filler migration occurs is that you Neglected The Aftercare Instructions provided by your cosmetic doctor. While the success of a cheek filler procedure rests in the hands of your cosmetic doctor, “You” play an important role in maximizing its results.
Dermal filler will not cause the skin to stretch and sag, once the filler naturally breaks down. The only case where this would happen is if the face were to be grossly overfilled with extreme amounts of dermal fillers, which is something we most certainly do not do at Cityskin.
Whether it's the lips, under the eyes, in the cheeks, or any of the other areas where HA filler is placed, injecting hyaluronidase can speed up the degradation process and reduce plumpness and/or lumpiness in a matter of days.
Although extremely rare, dermal fillers are able to migrate within the skin if consistent and adequate pressure is applied to them. For this reason, we advise patients not to get a facial, massage (on the treated skin), or microdermabrasion for the first two weeks following their filler injections.
Massaging the treated areas can disrupt the dermal filler and cause the hyaluronic acid solution to move out of place. This can lead to an uneven or lumpy appearance.
Signs and symptoms of allergic reactions to cheek fillers include prolonged swelling, pain, and discomfort. It may also cause itchiness and, in very rare cases, anaphylaxis. Anaphylaxis is the severe allergic reaction to medication or food that leads to shock, skin rashes, and low pulse rate.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
The effects of the fillers will wear off after months or years, but the treated area is likely to return to its original state. The benefits of both Botox and fillers will be gone and you'll notice that those lines and volume loss will come back.
In rare cases where there is facial filler migration, it typically occurs in two locations. They are most likely to migrate around the lips or under the eyes.
Dr. Frank says the best way to deal with migration is to dissolve the filler with hyaluronidase (an enzyme that breaks down hyaluronic acid gels). In just a few hours, hyaluronidase softens the filler and returns the lips to a more natural shape, projection, and size.
Migrated lip filler is visibly noticeable and usually presents as lumps, but can also appear as a puffy upper lip, lack of a defined border between lip edge and above and/or below the lip border – think duck lips.
Can your face go back to normal after fillers? Many patients fear that when the filler wears off, they will look worse than before. Though fillers may stretch your skin, it is elastic enough to revert to its original form before your treatment. However, anything that's too much is also not good for you.
If you believe that your filler has migrated, then don't panic, as it can be treated. The beauty of modern-day filler is that it is semi-permanent, so over time your body will naturally break down and metabolise the substance.
How Can Injectable Fillers Stretch Out Skin? Injectable fillers can stretch out the skin if they are used too often and in large doses. This occurs because the fillers are stretching skin that is producing less collagen and elastin to maintain youthfulness; therefore, once the filler is gone, the skin cannot contract.
When you have had too much filler, then you may appear to have a bulging forehead, an overly pointy and sharp chin, and overly protruding cheekbones. Furthermore, the filler can stretch and weigh down your skin over time, which is known as filler fatigue.
Swelling subsides, typically, within a few days. It's most apparent 24 to 72 hours after treatment before starting to subside gradually. Very occasionally, swelling can last from several days to four weeks.
It is not uncommon to experience a small degree of asymmetry immediately post-treatment due to the potential for swelling and bruising. Juvederm can take up to 4 weeks to integrate, so it is best to wait and review in 2-4 weeks with your Injector at which point you will have a better idea of the final result.
Your provider uses a thin needle to inject small amounts of filler beneath your skin. They may inject filler in several areas of your cheek. You may feel a small pinch or sting, but the cheek filler procedure doesn't usually cause pain.
Generally, any lumps or bumps that appear after fillers will disappear on their own within one to two weeks. Give the treatment a couple of weeks to improve, applying ice regularly.
Fillers remain moldable for 1-2 weeks, and pressure can deform your filler.
Lumpiness is very common to feel in your skin in the days after injection of dermal filler into the face, including the upper lip body and the cheeks and the chin area and along wrinkles and folds when injected to lift these. It will usually resolve within a couple of weeks.
6 to 10 Hours After Treatment
If there is a visible bump, you can massage the area. Depending on the areas treated and the product used, you may feel “firmness.” These areas will soften and settle with time (usually 1-2 weeks).