Migration is mostly observed in areas like the lips, central cheek, and tear trough region, although it can happen anywhere you get injected with filler. If you have filler, or are considering it, you may be eager to know whether or not certain fillers migrate versus other options.
Where Facial Filler Migration Occurs. In rare cases where there is facial filler migration, it typically occurs in two locations. They are most likely to migrate around the lips or under the eyes. It often is shown on social media as protruding [or receding] slightly, like an artificial trail of lumps.
If the tear trough is still a concern for the client after cheek filler, then tear trough treatment may be the next step. For certain people, we will always suggest cheek filler before the tear trough because simply having the tear trough filled may offer a poor result and correction and may look odd.
Cheek filler migration, in particular, is the Spreading Of Fillers Outside The Cheek Area, thus causing long periods of pain and discomfort, swelling, and irritation around the eyes, nose, lips, jaw, and neck.
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.
What Does Migrated Filler Look Like? According to Dr. Sherber, filler migration tends to be most noticeable in thin-skinned areas, like under your eyes. “It can give the look of puffiness under the eyes after under eye filler or create a 'filler mustache' above the upper lip after lip filler,” says Dr.
In reality, fillers take up to four weeks to “settle,” according to Healthline. Different types of fillers can settle more quickly, and your lifestyle and similar factors can also affect the amount of time it takes to settle.
If you develop any of the following symptoms, immediately seek medical attention: unusual pain. vision changes. white appearance of skin near the injection areas.
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.
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.
More precisely, the cheeks should be treated with firmer dermal fillers first (such as Juvederm Voluma), because it indirectly improves the tear troughs as well. In a second visit 2-3 weeks later we can assess the eyes again and we can decide whether the trough needs a further treatment or not.
You may not be an ideal candidate for tear trough filler if you have: Very thin skin. Dark circles caused by lifestyle habits or genetics. Medical conditions that add a risk of complications.
The front cheek needs to support the tear trough to achieve a good result in the tear trough. If the front cheek doesn't give enough support then the trough will be very long. It is not the “trough” area that needs to be injected first, it it the midface or front cheek area that needs to be injected.
Sometimes, bruising after cheek filler injections can present in the undereye area. Bruising occurs when the needle punctures an underlying blood vessel and the blood pools in the surrounding soft tissues. The blood can travel to distant sites under the skin, such as under the eyes.
Incorrect filler choice or placement can exacerbate the appearance of the cheek bags known as festoons, which can contribute to under-eye puffiness. As a general rule, permanent fillers, including Sculptra, should not be used under the eyes.
These complications are usually temporary and go away within a week or two. Cheek filler may also move to another part of your face. This can cause your face to look lopsided (asymmetrical) or lumpy. If this happens, your provider can often use another type of injection to dissolve the filler.
Swelling is completely normal after your procedure, so don't freak out if your cheeks look "bigger" or more lifted than you intended. Swelling can distort the shape, so give yourself about five days for the volume to settle before you assess your filler.
A reversal chemical called hyaluronidase is injected into the skin to dissolve fillers that have generated an unfavorable or dangerous effect. Hyaluronidase is a naturally occurring enzyme that breaks down hyaluronic acid. In cases where permanent fillers have been used, a reversal may be impossible.
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.
“Proper placement of mid-face and lower face filler should not significantly affect the smile,” he shares. With that said, “if an overly firm filler is used or if the region is overfilled, an unnatural appearance can result as the lips push against stiff surrounding tissues,” he adds.
Cheek fillers are one that can be somewhat firm, but not hard. Patients often ask before or after their injections, “Will cheek filler soften?” The answer is almost always yes.
This happens when the filler was injected too superficially. Patient may take notice to the uneven appearance several weeks post treatment or 3+ months post treatment when the body starts to slowly metabolize the filler. Additional areas that can be “botched” are cheekbones, chin, marionette lines, etc.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.
Dermal fillers can be used to restore mid-face (cheek) volume and sculpt the jawline, in order to reduce the appearance of sagging jowls. The procedure is not painful, does not require any significant down-time and is excellent at lifting and sculpting the skin, where volume needs to be replaced.
Within the first two weeks after your injections, lumps and bumps are normal because the cheek filler is settling. If they are particularly pronounced, your injector may recommend massaging the filler. Secondly, if it is after two weeks, your injector will likely still recommend massage first.