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.
[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."
This swelling can very occasionally cause a filler to move slightly, though it is often only experienced in patients who had fillers placed within the past 6 to 12 months.
Inflammatory nodules can occur anywhere from days to years after filler placement and vary according to their etiology.
While the filler itself doesn't stay in your system, its effects last a lifetime. Hyaluronic acid, on the other hand, is non-permanent. Composed of a sugar molecule which is also produced naturally in the body, it generally dissolves and is excreted by the body in six to nine months.
As noted, while this is rare, migration accumulating over time can cause potential health issues in the future. "Tear trough filler, for example, when injected too superficially, can migrate and cause lymphatic obstruction which can be present for years and years after the treatment date," shares Dr. Diamond.
It is important all physicians assessing nodules/masses/swelling in the facial area be aware that soft tissue fillers may migrate to a location away from their intended site of injection by several mechanisms and persist in the tissue even years later.
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.
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.
Swelling after a few months could be due to a few reasons: Late onset inflammatory response to hyaluronic acid. This is a rare complication which can occur 4-5 months after treatment but in extremely rare cases up to 14 months after. This information is readily treatable with oral steroids.
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.
"If there is fullness outside the border of your lips, this is generally a sign that the filler has migrated," adds Dr. Ramanadham. "This can occur if too much was injected or injected incorrectly.
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.
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.
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.
It's essential to know that lip filler migration can occur over weeks, months, and even years. Though rare, it does happen more frequently for some than others but with an experienced practitioner, the risk of such complication is significantly reduced.
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.
The hyaluronic acid in the filler binds with the skin's natural water supply, temporarily puffing up and swelling until the body reestablishes its natural balance. Again, the swelling is generally temporary and in most cases, lasts only a day or two.
Although dermal fillers are generally thought to be safe, all foreign materials have potential ability to cause adverse reactions. HA is composed of polysaccharides and has same structure in all species; therefore, the risks of an implant rejection or an immune response are low.
"If the filler is not permanent, such as Restylane Silk or Juvederm, the lips will return to their original shape," says Dr. Howard Sobel, founder of DDF Skincare. "If the filler is permanent, such as Silicon 1000, they'll stay the same." Dr.
Lumps and bumps are common after lip filler injections. The good news is that they can be effectively treated with gentle massage after initial swelling subsides.
Some of the common signs of lip fillers going wrong include: Lumpiness. Successful lip fillers should not be lumpy to the touch or to look at. If your lips are lumpy, this may be because the technique used to insert the filler was incorrect, or a filler with too much viscosity has been used.
Wrong Choice Of Filler
A migrated lip filler may also result from a faulty decision of your injector when it comes to choosing dermal filler for lips. An aesthetic practitioner is always armed with a variety of products of different viscosities and thickness.
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.
As well as stretching of the skin, excessive use of fillers can result in longer term damage including wrinkling of the lip and disturbance of the attachment of the facial fat pads and some degree of irregularity and ageing of the skin, he explains.