Some filler products may be more resilient and take a long time to dissolve naturally. Once you find the migration in lip filler, you need to massage the particular area every morning and night and use a hot compress to increase blood flow to the exact place that makes the product break down naturally.
Many of these videos recommend massaging your treatment area immediately following your injection—but this can be harmful. In some cases, we recommend our patients massage their fillers following treatment to smooth them out below the skin; however, too much massage too soon may cause the filler to migrate slightly.
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.
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.
Massage can encourage the filler to be broken up by the body more quickly. But in practice this still takes a long time (like weeks of daily vigorous massage) to improve the outcome. This may also spread the product over a larger area causing more problems.
"Lip filler migration is generally a result of the fact that hyaluronic acid fillers absorb water, and they can begin to create some extra volume and extra absorption of volume in areas that were outside of the primary injection site," says Dr. Karam.
"In cases of undereye filler, migration is seen as bumps in the lower eyelid and/or upper cheeks areas underneath the eyes." Dr.
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.
So while the body naturally breaks them down over time, there is a way to speed up the process: Injections of hyaluronidase. Hyaluronidase is what the body produces naturally to break down fillers, so by injecting more, it allows the lips to regain natural shape quicker, usually going down within 3-4 days.
Filler that has migrated into the wrong plane may never dissolve on its own and will likely need to be dissolved. I see filler last much longer (years longer) than it's expected to, so if you have filler in unwanted areas I would recommend dissolving and starting over.
Answer: Juvederm/Restylane Migration
HA fillers will dissolve in 9-12 months, it can be reversed with an enzyme called hyaluronidase.
🛑 Sign #2 Puffiness above your upper lip near the (vermillion border) which some describe as looking “like a shelf” or looking “ducky.” It will sometimes cast a shadow to this area to which some say can make you look like you have a subtle mustache.
It will almost always be clear to see if your filler has migrated beyond the lips. A plump upper lip and a lack of a definite boundary between the lip edge and the upper or lower region of the lip border are both visual signs of lip filler migration.
Insert your thumb into your mouth and use your index finger to massage the bump in your lip for 2-3 minutes in a circular kneading motion. If that feels uncomfortable, try it in reverse by placing your thumb on the outside of the lip and your index finger inside the mouth.
If your lip fillers have migrated, it will almost always be noticeable visually. This can be presented in many ways; from a puffy upper lip, a lack of a defined border between the lip edge and above and/or below the lip border.
At Ethos MedSpa, our extensive experience with fillers has taught us that the best way to address these issues is to dissolve the filler and reinject the lips. Filler migration does not get better on its own.
Dissolve the filler with hyaluronidase enzyme such as Vitrase or Hylenix. These enzymes, when injected, will cause hyaluronic acid based fillers to completely dissolve within about 5 minutes, with repeated massage. This returns the lips to their baseline prior to injection.
Whilst it is somewhat normal to feel small lumps, depending on how thick the filler used was), if they feel one lump in particular, they can gently massage it in between their finger and their thumb, over a period of time, and it will help to “break down” the lump.
The most common cause of lumps after a filler treatment is swelling and bruising from the injections themselves. These should naturally subside within the first week.
However, it must be stressed, however, that filler does not migrate from one area of the body to another. What being discussed on social media is simply so-called migration of a few millimeters within the same anatomical regions where it was injected.
So while the body naturally breaks them down over time, there is a way to speed up the process: Injections of hyaluronidase. Hyaluronidase is what the body produces naturally to break down fillers, so by injecting more, it allows the lips to regain natural shape quicker, usually going down within 3-4 days.
Trauma at the Injection Site
The single most common cause of lumps or bumps after filler is the trauma of the injection itself. This is why we recommend waiting for the swollen, bruised skin to heal before beginning to massage it.
Over time, as facial movement increases in areas like the lips or cheeks, it causes the filler to break down and dissolve at a quicker rate. This makes the filler disappear faster in more active areas of the face.