3 years post-op. Is filler from my temples moving down towards the end of my eyebrows?

Thank you for your query! It is not clear what kind of fillers you had. Most fillers that are commonly used (hyaluronic acid) do not stay beyond two years, although a very small amount may remain. The treatment at this time may be to try and dissolve the fillers, (if possible) and use autologous fat grafting to smoothen and enhance the contours. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Fillers are injected into tissue, not a hollow space, so they don't technically have the capability of "moving" - but, in some instances, early on, fillers placed into areas of high movement can "bunch", which is why placement, filler choice and your choice of injector physician is very important. In your case, it's likely you were used to the added volume and once the filler broke down, the natural volume loss you sought to replace originally has returned. Aging doesn't stop, so even with fillers and/or collagen stimulators, we'll all see the effects of collagen loss and tissue shifting.Anatomy is the boss, not necessarily what you think you want to inject where. Fillers in general are temporary, with the exception of Bellafil, which is a sanctioned semi permanent filler for acne scars - or silicone, which is not sanctioned at all for cosmetic use.Most patients choose to top off fillers as the fillers degrade. The key to keeping everything looking natural over time is maintenance.

Dear melizoo99,Fillers should not migrate, especially 3 years after injection. Hyaluronic acid fillers should be long absorbed by then. The only exception is silicone, in which case all bets are off. You need to at least call your injector and see if they have records of what was injected into your temples.Good luck,Nirmal R. Nathan, M.D.

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Fillers should not move, especially 3 years after injection.  I think it is unlikely that your filler has moved.  It is possible that certain areas of your face are losing some volume, and this will alter your appearance and could be causing the issue you see.  It is possible that some areas need more filler to maintain your results.  

It would be unusual for the fillers to migrate this long after injection. You may be noticing age related changes or potentially changes related to weight loss or gain. Visit with an expert injector for an evaluation to learn more.

It is hard to tell whether there is a difference since I don't know what your face looked like before the fillers. However, facial fillers typically do not last three years and should not be "dropping" at that point. The filler settles within a few days after the procedure, but if you are concerned you could schedule an appointment to get it dissolved, if it truly is the filler.

Most temporary fillers will gradually resolve over one to two years, but the rate will vary from person to person and on different parts of the face. Once placed the filler does not migrate much. Most likely what your seeing is the gradual loss of filler over the last three years and the resultant anatomic change in the face. I would recommend a follow up appointment with your doctor to discuss additional fillers.

HiI think you are way over due for your next round of fillers.  We get use to having volume but as we lose volume and fillers dissipate things on our face have a tendency to sag! Have a consultation with a Board Certified Physician and they will restore your lost volume. Best!   

Dear Australia,The questions at hand. What is your before filler look, what filler was used, is the filler still there or reabsorbed?Also the face has natural decent with gravity over time, as well.So many questions.A face to face consult and physical exam is the next best step.Best. Dr Brecht Seattle, Wa