"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."
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.
Migration of filler is uncommon, but it does occur. Fillers usually get dissolved over time, regardless if it has migrated. HA fillers like juvederm/restylane/perlane they last about a year before they are absorbed by the body.
People think that they should wait until the filler dissolves and in reality, it takes an extremely long time. It can take two to three years and beyond.
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.
Calcium hydroxylapatite is biosynthetically produced, which means that no animals or animal products are used. This lowers your risk of an allergic reaction and no skin testing is required. This type of dermal filler is known to produce a very natural result, doesn't migrate and side effects are rare.
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.
"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.
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.
A) Vascular occlusion usually causes some pain or discomfort, but may only manifest itself by the appearance of blanching, bluish discoloration, or mottling of the skin. Anything that seems unusual even hours after dermal filler injection should be reported immediately to your treatment provider.
Bruising may occur if an artery or blood vessel has become blocked due to filler injection. Bruising may range from a blue discoloration to a dusky purple-grey appearance. Swelling is likely to occur in and around the injection site if vascular obstruction is present, and may range from mild to severe.
Migration often occurs due to parts of the body being overfilled with this substance and this bleeding into other areas, so it's important to remain aware of the amount of filler that will be applied to your lips, as well as letting your practitioner know if you already have some filler in this part of your face.
Are Lip Fillers Supposed to Feel Hard? 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.
You may experience considerable swelling during the first two days of getting a lip filler injection. However, this swelling should subside by the fourth day. If you experience extreme swelling three or four days post treatment, you should consult your doctor or dentist immediately, as it may be something serious.
These may result in more long-term side-effects which can include, but are not limited to: excessive bleeding. excessive bruising and swelling. lip asymmetry where the injection has not been even been placed.
Answer: Skin necrosis is rare after injection of filler
Signs of skin necrosis include changes in skin color (a blue, dusky, or dark hue in that area), pain, and “breakdown” of the skin.
SYMPTOMS OF NECROSIS INCLUDE:
Prolonged blanching: when the affected area looks very pale, white or dusky due to the reduction in blood supply. Purple discolouration: this typically occurs several hours after treatment when tissue death has already occured.
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.
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.
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.
While dermal fillers can technically migrate from any injection site, it's most likely to occur around the lips or under the eyes. “It usually moves upward [or] downward or protrudes outward, looking like an unnatural path of lumps,” explains Dr.
What does skin necrosis look like? There are two main types of necrotic tissue present in wounds. One is a dry, thick, leathery tissue usually a tan, brown, or black color. The other is often yellow, tan, green, or brown and might be moist, loose, and stringy in appearance.
Not to worry though, lumps following a filler treatment are completely normal. The lumps you may experience are often caused by swelling and bruising of the treated area. We would not recommend massaging or using force to reduce the lumps yourself, as this may impact your final results.
When foreign body granulomas occur in patients who have been treated with Artecoll, they generally show the features of sclerosing granulomas. Several months after the filler injection, they appear as hard and bluish nodules with congested dermal capillaries on their surfaces.