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.
"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.
Very late presentation, over a year after the last injection, can occur in some cases, depending on the location of the injected product and the speed of degradation in that area. Such reactions may occur with any HA dermal filler, but their incidence may vary depending on the manufacturing technology.
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.
Composed of hyaluronic acid, a substance that's naturally found in the body, more people are discovering that fillers can help slow down the effects of the natural ageing process. 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.
Like most things in life, dermal fillers do not last forever. You can keep your post-filler appearance by sticking to a regular touch-up schedule, but your filler will eventually disappear if left alone.
Answer: No migration when dermal fillers are injected correctly. When fillers are injected by a board-certified doctor who has extensive training in the treatment, they will not migrate. Hyaluronic acid fillers, which are the most common, contain hyaluronic acid that dissolves over time.
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.
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.
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.
The theory is that when fillers like collagen and Restylane are repeatedly injected into flesh, over time this can weigh down and loosen the skin. And so, each subsequent trip to the doctor would require more volume of filler to fill that already stretched-out skin.
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 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.
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.
Lip filler migration commonly occurs as a result of too much filler being injected into an area and “bleeding” elsewhere.
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.
Discontinuing the treatment will not make your wrinkles worse. When the effect wears off, the treated area will go back to its original appearance. With dermal fillers, most people think your skin will become wrinkly or saggy if you stop getting injections. This is not necessarily true.
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.
Deep injections may last as long as 12 months, and newer products on the market may last up to two years.
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.
The manufacturing processes for binding the formulas can also impact the longevity of each formula. Still, there is generally no need to receive multiple treatments within a year. To achieve and maintain your ideal results, it is recommended to schedule treatments for every one to two years.
Answer: Laugh lines worse after Filler
This may appear worse because there is swelling from the injection. All swelling should subside in about 2 weeks. If after 2 weeks this does not get better, then please see your injector for an evaluation.
Answer: Migration of Fillers
They can migrate, but only do so relatively soon after injection. After that they are relatively stable.
Excessive use of fillers distorts natural face features, causing an aged appearance. When the face becomes distorted this makes you look unnatural. And an unnatural look will make you look disproportioned. A hallmark of beauty is proportions.
Filler works by inflating a pocket or space under the skin. Once the filler is gone (whether absorbed back into the body or chemically dissolved), that space will become empty leaving the tissues in a more stretched out position (think of sucking out the beans from a bean bag leaving it with an excess, sagging bag.