Lip filler migration to the cheek & how can this be corrected? (Photo)

Question

Aesthetically concerned about the lump that is to the side of my lips/cheek on the left side. Could this be filler migration? I haven’t gotten filler in over a year. How can this be corrected? Thanks!

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

Nima Shemirani, MD · Answer

Hi @Shelbymariev. This can be potential migration. This can be dissolved with Hyaluronidase without much complication.

Oakville Plastic Surgery &amp; Medspa · Answer

Thanks for your question on Real Self! It does seem very odd that your lip filler would migrate into the side of your mouth. Hopefully the filler used was hyaluronic acid, which means it can be dissolved. If it settles down quickly after dissolving, it is likely filler.

Lip filler migration to the cheek & how can this be corrected? (Photo)

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Lip filler migration to the cheek & how can this be corrected? (Photo)

Answers (3)

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Everything you need to know about Lip Fillers

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