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.
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.
Experiencing lumps in lips after injectable filler is extremely common—and lumps most often resolve naturally with time. Gentle lip massage 5-7 days after the treatment can help smooth any lumps and bumps in the lips.
Filler movement can end up giving a 'duck face' protrusion and even a white looking rim around your lips. Not the best or most natural look in the world, but a simple treatment with Hyalase can dissolve the migrated, hardened old filler and make way for a new treatment using a softer product which may suit you better.
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.
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.
The best thing to do is ask your provider to inject the lips and any areas of migration with a solution called hyaluronidase. Hyaluronidase dissolves the filler over the course of a few days. If the first injection doesn't break down all the filler, you can receive more to fully break it down.
Answer: Juvederm/Restylane Migration
HA fillers will dissolve in 9-12 months, it can be reversed with an enzyme called hyaluronidase.
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.
If your lumps last longer than two weeks, they may have been caused by congealed hyaluronic acid. Although this cause is rare and uncommon, this can be corrected by injecting hyaluronidase into the lump. Hyaluronidase, like hyaluronic acid, occurs naturally in the body and is used to dissolve filler when needed.
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.
"With lip filler, the upper lip border becomes less defined and a mound develops in the skin above the lip, causing the 'duck lip look,' says Dr. Nichols. "In cases of undereye filler, migration is seen as bumps in the lower eyelid and/or upper cheeks areas underneath the eyes."
However, due to the growing popularity of lip filler injections, this has unfortunately led to a higher chance that some treatments may not always go as intended. Bad injection procedures from undertrained practitioners can lead to lip filler migration.
Mild migration can create a subtle "ledge" beyond the border of your lip, while more noticeable migration can create more of a "shelf" or "plateau where you have almost a 'filler mustache' and you have a side projection that looks more ducky," says Dr. Durairaj.
Even though the results of filler will be visible right away, migration can happen almost immediately, with a few days or weeks, or even up to years later in rare circumstances, depending on what the root cause of the issue is. “If overfilling is the culprit, it will be noticeable almost immediately,” says Dr. Horn.
Answer: Filler to the Lips
Hi, Yes! you can massage the fillers and have some movement, especially the first day or so. I would be careful though and make sure you speak to your injector first as you can also move the filler out of the lip and undo the work you had done.
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.
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.
Sun exposure speeds up the aging process on the skin and is one of the leading causes of wrinkles. Those UV rays can also cause certain fillers to break down faster and being absorbed by the body more quickly.
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.
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.
Do I massage my lips after lip fillers? Do not massage your lips for 24 to 48 hours after the treatment. Once your swelling subsides down, you can gently massage your lips with light pressure.
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.
Your lips may feel stiff or rigid immediately after injection with dermal fillers. Don't worry — this is entirely normal, and the lip fillers will soften with time. Your lips may also be swollen and tender, which can contribute to the lip filler feeling hard under the skin.