Worried about Filler Migration

Question

Hello, I had undereye and mid face filler done about 9 months ago. It swells here and there and I can feel it in my face still. A few days ago I unfortunately got extremely upset and angry at a situation with my husbands family, and ended up yelling and screaming for a half hour or so while very upset. I’m worried that getting that upset and angry combined with intense yelling caused the filler to migrate or move. Could that have happened?

Randy Lindgren, MD · Answer

Filler migration can occur, typically when the filler moves more superficially or shifts slightly, but it's quite rare for it to migrate significantly. In your case, since it’s been 9 months since your filler treatment, it’s more likely that the swelling you're experiencing is due to the intense facial expressions from yelling and the emotional stress of the situation, rather than actual migration of the filler. The movement of your facial muscles during such an emotional outburst can cause temporary swelling in the treated areas, which should resolve over time.
I recommend waiting a few weeks to see if the swelling subsides, and during that time, try to minimize swelling by avoiding high-sodium foods, sleeping with your head elevated, and staying hydrated. If you're still concerned or notice persistent changes, it would be a good idea to consult with a board-certified provider who can assess your treatment and ensure everything is as it should be.

James M. Economides, MD, FACS · Answer

It's understandable that you're concerned about your fillers after such an intense emotional experience, especially since you can still feel the filler in your face. However, it's unlikely that yelling or getting upset would cause filler to migrate. Dermal fillers like hyaluronic acid are typically placed deep in the tissues and are designed to integrate with your facial structure. Once fully settled—usually within a few weeks of injection—fillers tend to remain in place, especially after nine months.

Reasons for Swelling or Movement Concerns:
Natural Swelling: Occasional swelling can occur due to factors like stress, changes in your body (e.g., hormonal fluctuations), or even dietary factors (e.g., salt intake). It’s common for areas like the under-eyes to show periodic puffiness because of how delicate the tissue is.

Delayed Inflammatory Reactions: Some individuals experience occasional swelling due to the body’s immune response to the filler, even months after the procedure. It can happen due to stress or illness but usually resolves on its own.

Filler Longevity: If you can still feel the filler, it’s possible that there is some residual product still present. As the filler breaks down over time, it may feel different or less smooth, but this doesn’t mean it has migrated.

What to Do:
Monitor Swelling: Keep an eye on the area for any worsening swelling or discomfort. If it persists or gets worse, it’s a good idea to check in with your injector to ensure there are no underlying issues.

Gentle Massage: If you feel any lumpiness or firmness, a very gentle massage (only if advised by your injector) can sometimes help smooth things out, but be cautious not to overdo it.

Stay Hydrated and Rested: Stress can impact your skin and overall appearance, so try to rest, hydrate, and focus on calming activities to help your body recover.

Consult with Your Injector: If you're feeling unsure or notice changes, it’s always best to consult with your provider. They can assess whether any migration or complications have occurred, though it’s quite rare at this point after your initial treatment.

In most cases, filler migration due to emotional stress or yelling is highly unlikely. If the swelling or sensation changes, it’s likely due to temporary factors rather than structural changes to the filler.

Camille Cash, MD · Answer

It is unlikely nine months after treatment that your filler would have migrated.  At that point the filler has long ago settled.  If you are unhappy with the filler you can elect to have it dissolved with hyaluronidase.

Worried about Filler Migration

Answers (3)

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