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.
Fillers work by pushing up the skin and adding volume to areas of deficit. If you massage them they will flatten out and will certainly loose their effect. Gentle rubbing in of face skin products should be fine though.
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.
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.
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.
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.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
Your body naturally dissolves the dermal filler for you over time using a substance called hyaluronidase. This is a naturally occurring material in your body that gradually breaks down the hyaluronic acid in your filler, causing your results to gradually diminish over a period of 6 – 18 months.
Hyaluronic acid dermal fillers such as Juvederm, Restylane, Teosyal and Belotero can be dissolved using an enzyme called Hyaluronidase. This enzyme naturally occurs in our skin but can be injected at higher concentrations in order to rapidly remove unwanted filler.
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. In addition, cosmetic fillers tend to last longer in areas with less movement.
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.
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.
Fillers remain moldable for 1-2 weeks, and pressure can deform your filler.
Some dermal fillers have been studied to last close to two years. The three fillers that tend to last the longest are Restylane Lyft, Restylane Defyne, Restylane Refyne, Juvederm, Voluma, Radiesse, and Sculptra. Restylane Defyne is built for balance and used in the nasal labial folds and marionette lines.
However, the use of too much filler results in overly puffy cheeks which look unnatural and inappropriate for their age. The pursuit of the “apple cheeks” have also contributed to this syndrome. Overfilling in the cheeks and under the eyes obliterates the natural lid-cheek junction.
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.
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.
Filler can take 2 weeks to settle and this is completely normal.
While no official studies have been done on patients who have had fillers and then undergone micro-needling, the general consensus is that as long as the micro-needling procedure is spaced no sooner than two weeks after the filler treatment, there will be no noticeable effect on the integrity of the filler.
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.
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.
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.
Our guidelines may include avoiding pressing down or massaging the treated area for at least two weeks after JUVÉDERM injections. Why? Massaging the treated areas can disrupt the dermal filler and cause the hyaluronic acid solution to move out of place.