Should I dissolve my filler?

Question

Hello, I'm in a confusing situation. 5 months ago, I had 1ml ha lip filler that migrated immediately over my lips and lip corners. Until now it looks the same, if not worse. I have puffiness and lumpy appearance around my lips. Shouldn't all that have reduced by now since it's almost half a year? I'm considering to dissolve but I'm not comfortable using an off label product. Many people show their damage (dents, loose skin, etc). Are the side effects researched at all?

Bao Ngoc N. Tran, MD · Answer

I would dissolve as chronic nodules can becomeScar tissue which will not be dissolvable within hyaluronidase. I have dissolved many lil fillers. You will experience so swelling at first which will resolve. The skin will retract. I would wait 2-4 weeks until refill if you desire fuller lips.

Mats Hagstrom, MD (license on probation) · Answer

In my opinion, fillers do not migrate.
The concept of filler migration is a poor excuse for poor technique.
At five months most of your filler is probably gone.
Is unlikely that reversing is going to change your outcome.
Fillers can create long-term changes in soft tissues.
This is not necessarily due to remaining filler, but can be a change in tissue volume for reasons, we are uncertain of.
Most likely it represents scar tissue due to inflammation from the previous filler.
This is more likely if there was significant bleeding and bruising during the procedure.
I suggest he simply wait out the process and be highly selective when choosing providers.
You can try reversal if you’d like but it’s five months it is unlikely to make a difference.
Best,
Mats Hagstrom, MD

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