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.
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.
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.
Will migrated filler go away on its own? In theory, yes, but the reality is a bit more complicated. When we dissolve fillers we inject an enzyme called hyaluronidase. Hyaluronidase is naturally occurring in your body and this is the reason that lip fillers will eventually dissolve on their own.
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.
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.
You cannot dissolve lip fillers at home. Only licensed medical professionals can administer the enzyme hyaluronidase. However, you can wait for your dermal fillers to dissolve on their own.
Answer: Juvederm/Restylane Migration
HA fillers will dissolve in 9-12 months, it can be reversed with an enzyme called hyaluronidase.
"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.
Dr. Nichols notes that because most fillers are semi-permanent, they will be metabolized and broken down; hyaluronic acid-based fillers for instance, take nine to 12 months on average to dissolve on their own. While it may not look great, lip filler migration, for instance, rarely leads to serious compilations.
Shamban notes, “the best course of action [in the event of lip filler migration] is to have a highly experienced injector introduce hyaluronidase to the area, and it will dissolve any HA-based filler quickly.” (Hyaluronidase is an enzyme that can dissolve hyaluronic acid fillers.)
But if you find that you're not happy with the results of lip augmentation, there is a solution. To reverse lip augmentation results, your provider can inject an enzyme called hyaluronidase into your lips, which will dissolve the filler.
Intense heat on the skin can make your filler break down more quickly or produce less effective results. Ideally, you should avoid exposure to intense heat for at least 12 to 24 hours after your appointment.
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.
Migrated lip filler can present as lumps, noticeable volume above the top lip, lack of a defined lip edge all over, and sometimes can cause discomfort.
According to RealSelf.com, the cost ranges between $50 and $1,625, with an average cost of $450. The internet tends to suggest you can DIY pretty much anything, but this isn't something you should attempt to do yourself. You'll need to get lip fillers dissolved in a clinical setting, by a skilled medical professional.
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.
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.
Our skin and tissues are not broken down by injected hyaluronidase, however. Because our natural hyaluronic acid is turned over constantly by naturally occurring hyaluronidase, the effect of injected hyaluronidase on our body's natural hyaluronic acid is temporary.
Answer: Dissolving fillers without hyaluronidase.
Fillers can be partially reduced with some lasers, such as Fraxel, if they are used within 1-2 months of having the filler treatment. This doesn't always work but might help.
Hyaluronidase is an enzyme that acts as a dispersion agent, breaking down hyaluronic acid through hydrolysis. It's a naturally-occurring enzyme that is purified to dissolve dermal fillers.
Hyaluronidase is used to dissolve hyaluronic acid fillers that have been placed incorrectly, excessively, or unevenly. It is injected into the same locations that the filler already is.
How Long Does Lip Filler Migration Last? The good news is fillers are only semi-permeant. Depending on how recently the filler was injected, the migration will last approximately 6-18 months. During that time your body will naturally metabolize and break the filler down over time if left alone.
It depends on the type of filler being used, your immune system, your doctor, and mouth movement. Juvederm is known to be the longest lasting lip filler and can last anywhere from 12-18 months. If you received a Juvederm lip filler, which is very possible, it is normal that it hasn't dissolved.
Lip fillers can be dissolved early, but only if these are a particular type of filler. Lip fillers that are made from hyaluronic acid can all be safely dissolved, including leading names like Juvederm, Restylane, and Belotero.