You can spot filler migration as it can give that ducky or “shelf-like” appearance above the lip border. In areas such as the tear-trough, migration can be seen as little lumps and ridges around the lower eye area.
Migrated lip filler is visibly noticeable and usually presents as lumps, but can also appear as a puffy upper lip, lack of a defined border between lip edge and above and/or below the lip border – think duck lips.
[Injectors are] learning more and more that the filler can travel and migrate to regions outside of the injection site. This can happen months or up to years after the injection."
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.
Answer: Migration of Fillers
After that they are relatively stable. They then are dissolved over time once the body recognizes them. However, depending on many factors, some of the filler (which, with hyaluronic acid fillers, is the precursor of collagen) is converted to collagen and is permanent.
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.
In addition, Voluma is a solid filler which gives it the advantage of not migrating to the surrounding tissues. For patients who want more dramatic changes, Voluma allows for more product to be placed with less risk of displacement.
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.
Filler that has migrated into the wrong plane may never dissolve on its own and will likely need to be dissolved. I see filler last much longer (years longer) than it's expected to, so if you have filler in unwanted areas I would recommend dissolving and starting over.
Filler migration is the movement of a dermal filler from its injection site to another area of the body. While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector.
Why do dermal fillers cause swelling? Dermal Fillers commonly cause swelling and sometimes even bruising. The injection process disturbs the skin and soft tissue, causing minor trauma to the area, and swelling is a natural bodily response whilst the area heals.
In some cases, the development of chronic nodules and granulomatous inflammation after filler injections can be attributed to bacterial, fungal, polymicrobial, or viral infection. In vitro assays have shown that filler materials, including HA, can support the growth of bacterial biofilms.
We see the most common filler side effects are redness and swelling, which usually resolve within a few hours. Other filler side effects may involve: Slight bleeding at injection sites. Bruising.
Drink plenty of water. HA based fillers such as Juvederm work by using the water naturally stored in our tissues, by drinking plenty of water after having a dermal filler treatment it helps the filler hold its chaos and last for longer.
They typically occur 48–72 hours after injection but may be seen as late as several weeks postinjection and may persist for many months. Late-onset reactions occur at least 3 months after uneventful injection of a dermal filler.
Bruising may occur if an artery or blood vessel has become blocked due to filler injection. Bruising may range from a blue discoloration to a dusky purple-grey appearance. Swelling is likely to occur in and around the injection site if vascular obstruction is present, and may range from mild to severe.
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.
Answer: Skin necrosis is rare after injection of filler
Signs of skin necrosis include changes in skin color (a blue, dusky, or dark hue in that area), pain, and “breakdown” of the skin.
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.
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.
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.
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.
Whilst it is somewhat normal to feel small lumps, depending on how thick the filler used was), if they feel one lump in particular, they can gently massage it in between their finger and their thumb, over a period of time, and it will help to “break down” the lump.
Fillers remain moldable for 1-2 weeks, and pressure can deform your filler.
However, it must be stressed, however, that filler does not migrate from one area of the body to another. What being discussed on social media is simply so-called migration of a few millimeters within the same anatomical regions where it was injected.