Lip filler migration - what can be done to treat this shadow? (Photo)

Question

I have had my lips filled several times over the course for the last 5 years. Over this last year, I had my lips dissolved with hyaluronidase due to a shadow over my upper lip which I assumed was migration. After the first time dissolving, the shadow persisted. I had them dissolved for a second time a month later. The shadow persists. I am wondering what can be done to treat this shadow.

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Lip filler migration - what can be done to treat this shadow? (Photo)

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Lip filler migration - what can be done to treat this shadow? (Photo)

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Our mission is to create a world where every investment in modern beauty is Worth It.