Weird "shadow" around mouth after cheek filler - could it have migrated? (photos)

Question

Hi all, I went in earlier this year to get my first filler in my nose. The person who I went to recommended that I get fillers in my cheek because otherwise after the nose filler, she said my nose would look "bigger". I agreed. Once everything was done, I loved the change in my nose and the cheeks looked subtle so I didn't mind. Now I have this weird "shadow" around my mouth and strange lines. First pic is from December 2021 (no fillers), second pic is from last month (5 months post filler)

Elham Jafari, MD · Answer

Hi and thank you for your question! While knowing the exact location of the cheek filler injection and how far it was from the nasolabial folds is needed, in general it is very rare for fillers to move/migrate, and even if they move, it is very unlikely to move this much. Moreover, even if some filler was able to move and migrate this much, it would have been extremely unlikely to be taking place on both sides similarly. As such, I really do not think that the issue here is filler migration. However, you do need to do a follow up with your provider so they can make an accurate assessment and do any adjustments if needed. I hope it helps and good luck!

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Darryl J. Blinski, MD · Answer

As seen nicely posted photos you have a combination of Filler downward migration with minor aging of the lower face. Try very diluted HA dissolver into shadowed areas. Or very limited injection of short lasting low G prime HA fillers to naso labial areas. Best to virtual consult with...

Weird "shadow" around mouth after cheek filler - could it have migrated? (photos)

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Everything you need to know about Cheek Fillers

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

Weird "shadow" around mouth after cheek filler - could it have migrated? (photos)

Answers (3)

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Recommended reading

Everything you need to know about Cheek Fillers

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