"In cases of undereye filler, migration is seen as bumps in the lower eyelid and/or upper cheeks areas underneath the eyes."
This is because when filler migrates, it only does so very slightly (within a few millimeters) and rarely causes medical complications. But, if you see small lumps and/or raised skin around the treatment area, this may be an indication your filler has moved slightly or your skin has been overfilled.
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.
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.
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.
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.
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.
“This is called the Tyndall effect,” says Steiger. “Sometimes it happens when filler migrates or is placed too superficially under the skin, but it's a fullness that you suddenly start feeling.”
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.
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.
Lumpiness is very common to feel in your skin in the days after injection of dermal filler into the face, including the upper lip body and the cheeks and the chin area and along wrinkles and folds when injected to lift these. It will usually resolve within a couple of weeks.
It's also not uncommon for the filler to slowly migrate away from your cheeks or chin over time, meaning that corrective treatments may become necessary.
Lumps are actually a common side effect after a dermal filler or lip enhancement treatment. Often they are a short-term problem, but if need be, they are totally correctable by a trained aesthetic medical professional.
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.
"People who have very thin upper lip, or who have an "M"-shaped lip with a very thin cupid's bow are [more] prone to filler migration," says Dr. Durairaj.
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.
Some fillers may feel firmer than others. Injectors do tend to use firmer fillers for the cheeks, especially if accentuating the cheekbones. Over the next week or two, the fillers should begin to soften.
Answer: Massaging after Fillers
Thank you for your question, Massaging your face will not cause your fillers to disappear and massaging a lot may interfere with your final results. However, if you are unhappy with your filler/Botox results after two weeks, you can have the fillers dissolved with hyaluronidase.
Answer: Fillers and Migration
Fillers can move and may be a result of poor injection technique or poor choice of filler for the given location injected.
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.
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.
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.
TAKEAWAY. 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.