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.
Firstly, migration can occur if a client has their filler done by an injector who is inexperienced and isn't aware of the structure of the skin. In this instance, sometimes too much filler can be placed in areas which it shouldn't be or by placing the filler too deep.
"While social media may make it look like filler migration is common, it is actually a very rare occurrence," says Greenwich, Connecticut-based board-certified dermatologist Kim Nichols, MD.
Answer: HA filler migration
Kubederm voluma is the most cohesive filler and therefore the least likely to migrate!
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.
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.
"People who have very thin upper lip, or who have an "M"-shaped lip with a very thin cupid's bow are [more] prone to filler migration," says Dr. Durairaj.
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.
Dermal filler doesn't 'normally', move after treatment. Immediately after treatment, in certain areas of the face, I do gently massage the area/s that were injected to help mold the product and prevent lumps. It does take about 2 weeks for the filler to settle and integrate into the tissue.
Tijion Esho, founder of Esho Clinic and ESHO lip products, says true filler migration is actually quite rare. “The face has fixed facial compartments and filler can only move where there is adjacent space,” he says.
People with higher metabolisms will experience shorter filler results because their bodies will break the filler compound down faster than those with slower metabolisms. The same goes for other treatments such as BOTOX® and Dysport®.
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.
Why Are Filler Results Temporary? Dermal fillers are created using naturally occurring enzymes, such as hyaluronic acid. For this reason, they are metabolized by your body over time. The speed of your metabolism will greatly affect how long your treatment results last.
Drink plenty of water. HA based fillers such as Juvederm work by using the water naturally stored in our tissues, by drinking plenty of water after having a dermal filler treatment it helps the filler hold its chaos and last for longer.
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.
Filler works by inflating a pocket or space under the skin. Once the filler is gone (whether absorbed back into the body or chemically dissolved), that space will become empty leaving the tissues in a more stretched out position (think of sucking out the beans from a bean bag leaving it with an excess, sagging bag.
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.
The filler can take several weeks to soften and settle into your skin. This means that patients won't see the ultimate results of their treatment immediately. Although individual results will vary, many people achieve the full effect within two weeks after receiving their injections.
Answer: Laugh lines worse after Filler
This may appear worse because there is swelling from the injection. All swelling should subside in about 2 weeks. If after 2 weeks this does not get better, then please see your injector for an evaluation.
To make your face rounder you need to dil out the area between the cheek bones and the jawline. This non-bony supported area is best treated by fat injections to change it into more of a convex shape on the sides of our face.
Many plastic surgeons say that Juvederm and Restylane are the most durable and longest-lasting fillers available. Both contain hyaluronic acid and are good for smoothing wrinkles and lines. Hyaluronic acid carries 1,000 times its weight in water and makes the skin look young, supple, and soft.
While dermal fillers, like Radiesse®, Juvéderm®, Restylane®, and Sculptra®, provide noticeable outcomes, results are temporary. This is because our bodies metabolize these products slowly over time. Most dermal fillers need to be readministered every 3 – 6 months with some lasting up to a year or longer.
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. If you're prone to lip filler migration, you may be wondering why it keeps happening.