The Results Improve Over Time Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate. This means you will see initial improvement nearly immediately. They will improve over six to eight weeks.
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.
Fortunately, dermal fillers work very quickly, and you won't have to wait twelve months to see the full benefits of your injections. 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.
Though it might take up to four weeks for your dermal fillers to achieve the desired results, those results can last a long time. For most hyaluronic acid (HA) fillers, such as Juvéderm Ultra XC, you should schedule a touch-up session in about six months.
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.
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.
Prolonged lumpiness after filler
If at 4 weeks after filler you still have visible lumpiness from the filler, then you will need to address it with your injector, who may recommend one of the following or a combination of the following: Manual extraction. Massage. Filler dissolving injections.
Dermal fillers are instant, so you can see a visible result immediately after injection. It takes up to 4 weeks for the filler to fully integrate into the tissue and some fillers are more cohesive than others.
Even though the results of filler will be visible right away, migration can happen almost immediately, with a few days or weeks, or even up to years later in rare circumstances, depending on what the root cause of the issue is. “If overfilling is the culprit, it will be noticeable almost immediately,” says Dr. Horn.
Upon injection, dermal fillers may feel firmer or harden due to a healing response of the body. Additionally, the filler needs to settle into the correct and ideal position. Some fillers may feel firmer than others.
There are also occasions where patients who get fillers frequently do not respond as well to the same filler since the injected tissues start to develop channels, swelling or firmness. For instance, Radiesse can form tissue tracks after as little as 3 serial treatments.
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.
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.
Additionally filler is quite soft and moveable for the first 48 hours post treatment, so there can be some compression of filler around areas of higher muscular contraction or if a patient swells greatly post treatment, this can also cause some compression or movement of product.
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.
Blood thinners include aspirin, NSAID pain relievers and even alcohol. Avoiding blood thinners in the 24 hours following your treatment helps prevent bruising or bleeding at the injection site. Like blood thinning medication, alcohol should also be avoided after injection.
You should massage after having injectable filler in areas where the skin is thinner, such as the lips or lower eyelids, but massaging too much and in other areas could actually break down the filler, resulting in less volume. Or it may cause filler migration.
After 24 hours the skin is sealed again naturally at the puncture sites and you can go back to washing your face normally.
Hard and tender lumps suggest that your body might have reacted to the filler. A mild allergic reaction can be sorted out quickly and easily by a prescription of steroids, which our aesthetic medical professional can provide you with. This prescription is available at most pharmacies.
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.
Swelling will reach its peak at around 24-72 hours after treatment, at which point, it will begin to gradually subside. Occasionally, swelling can last for 1-4 weeks, but this isn't as common. Most people do see an improvement within 3 days.
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.
Smoothing Out the Lumps
The good news is yes, those pesky filler lumps will in fact go away. It's actually quite uncommon for patients to experience any irritation or lumps following their procedure, but if you do, then you should expect them to dissipate after a few days.
If you can only feel the lumps and not see them, then panic even less, because this isn't usually a problem. If you can see the lumps. Keep your eye on them. Perform gentle massage (only if recommended by your injector) and if you can still see a lump at 4 weeks, contact your doctor.
You will have some swelling in the area you've had filler injected. In some cases bruising can occur. One cheek may look slightly different to the other cheek, but this happens with patients who are asymmetrical to begin with.