"If the filler is not permanent, such as Restylane Silk or Juvederm, the lips will return to their original shape," says Dr. Howard Sobel, founder of DDF Skincare. "If the filler is permanent, such as Silicon 1000, they'll stay the same." Dr.
Many patients fear that when the filler wears off, they will look worse than before. Though fillers may stretch your skin, it is elastic enough to revert to its original form before your treatment. However, anything that's too much is also not good for you.
When wrinkles begin to appear
When fillers become overused, the minimally invasive procedures that once worked stop producing results. As a result, patients may start to see heavy wrinkles in the form of laugh lines, marionette lines, and other wrinkles around the face.
While the filler itself doesn't stay in your system, its effects last a lifetime. Hyaluronic acid, on the other hand, is non-permanent. Composed of a sugar molecule which is also produced naturally in the body, it generally dissolves and is excreted by the body in six to nine months.
There is a very common misconception that dermal fillers can make skin sag, however we can safely say that this is FALSE. People assume that once they have been fully absorbed by your body you will be left with loose, hanging skin leaving you looking even older than you did previously.
As you may be aware, dermal fillers are an excellent way to provide a temporary fix for lines and wrinkles on the face. However, recent studies indicate that repeated, long-term use of deep tissue facial fillers can cause permanent damage or harm the lymphatic system in your face.
Filler fatigue is a term associated with the repeated use of filler injections over an extended period. With time, patients feel the filler is no longer giving them the results they had previously.
How can I prevent migration? Your best protection against filler complications is to do extensive research before choosing a practitioner. Look at client testimonials, before and after pictures and check the practitioner's credentials and experience before choosing who to go with.
Hyaluronic acid fillers, such as Juvéderm products (including VOLUMA and VOLBELLA), Restylane products, and Belotero, can be partially or completely removed with an enzyme called hyaluronidase.
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.
The dermal fillers mentioned are not permanent, and breakdown in the skin over time. “Since the results are only temporary you can expect your pre-treatment wrinkles to re-appear after the effects of the fillers resolve,” explains Dr. Hanson.
Lip fillers aren't permanent. They slowly wear away over time, usually 12 to 18 months after you get them, depending on your metabolism. You may need routine touch-up treatments to maintain your desired volume.
While hyaluronic acid fillers last only between six to twelve months, they can cause permanent changes. “Most fillers are absorbed by the body in about a year. They do, however, leave 10 percent of their volume behind in the form of scar tissue, which translates into permanent fullness," Dr. Rowe added.
Deep injections may last as long as 12 months, and newer products on the market may last up to two years.
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.
Juvederm, Restylane and other fillers that are formulated with hyaluronic acid can be reversed with an enzyme known as hyaluronidase. Injecting this enzyme into the treated area dissolves the particles of hyaluronic acid.
While massage can sometimes improve mild symptoms such as moderate lumpiness or slight asymmetry, don't perform massage on your fillers unless instructed to do so by your plastic surgeon or injector.
There are three types of hyaluronic acid that are commonly used for lip augmentations: Juvederm, Belotero and Restylane. All three of these are naturally broken down by the body over time (anywhere between six to 24 months), which is why follow-up appointments are needed to maintain the look.
The Russian lip technique uses smaller volumes of a dermal filler, placed in more parts of the lips. Instead of injecting into the lips a larger volume of a dermal filler and then massaging and spreading it out, the Russian technique injects more areas of the lips with a lesser volume of product.
Dermatologists should be aware that dermal fillers, including HA fillers, can migrate to locations distant from the original injection sites.
“Pillow face” is a direct play on the puffy, unattractive result of using too much facial filler or transferred fat. Another term often used to describe this overfilled look is “chipmunky.”
Hyaluronic acid fillers such as Juvederm can be dissolved with the hyaluronidase enzyme, which begins to work almost immediately. Many patients experience slight swelling or bruising after these injections, so you may not see most of the settled effect until 2-3 days after injection.
Best Sleeping Positions After Filler Treatment
Sleeping on your back is the safest position after any cosmetic procedure. The first night after your treatment, sleep with your head elevated (propped up with an extra pillow) to help avoid/reduce swelling and to ensure that the newly-injected filler stays in place.
Treating with 1ml at a time is certainly appropriate for some areas, such as volumising lips or having smaller tweakments into other areas of the face. Sometimes, however, more than 1ml may be required – in the cheeks, for example – as 1ml may not make a discernible difference.
The primary diagnostic symptoms of infection are erythema, warmth, tenderness, pain, swelling (usually at or close to site of injection), local signs of abscess (pustules, nodules, areas of fluctuation, crusts), and systemic fever.