Filler migration? Should I have this dissolved? (Photos)

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. Thank you for sharing your experience, and I completely understand how upsetting it can be to feel like your smile no longer looks like your own—especially with your wedding coming up. A lip flip uses Botox to relax the muscles around the upper lip, and while the effects usually wear off within a few months, persistent asymmetry or drooping could suggest that there may be more going on than just Botox. It’s possible that filler migration—especially if you've had multiple treatments over time—could be contributing to the uneven appearance or heaviness, particularly if filler has shifted outside the natural border of the lips and is affecting muscle movement. If the asymmetry hasn’t resolved after 10 months, it's unlikely to be from Botox alone. I would recommend seeking consultation to dissolve the filler. I hope this helps and best of luck!

It sounds like you're experiencing some concerns with the appearance of your smile following a lip flip and suspect possible filler migration. Here are some steps and considerations to help you decide on the best course of action:

Consult with a Qualified Injector: It's important to schedule a consultation with a board-certified dermatologist or plastic surgeon who specializes in injectables. They can assess your lips and determine if filler migration is the cause of the asymmetry.

Assessment of Filler Migration: If filler migration is confirmed, your practitioner can discuss options for dissolving the filler using hyaluronidase, an enzyme that breaks down hyaluronic acid fillers.

Timing Considerations: Since you are getting married soon, timing is crucial. Dissolving filler can lead to temporary swelling or bruising, so plan accordingly to ensure you have enough time to heal before your wedding.

Alternative Solutions: If dissolving the filler is not the preferred option, your injector might suggest other treatments to correct the asymmetry, such as additional filler in strategic areas or other cosmetic procedures.

Discuss Expectations: Clearly communicate your aesthetic goals and concerns with your practitioner to ensure the chosen approach aligns with your expectations for your wedding day.

A professional evaluation will help guide you to the best solution for achieving a balanced and confident smile.

I encourage you to return to your injector for an evaluation. At ten months the Botox effects should have worn off. The migrated filler can be dissolved with hyaluronidase. Keep in mind that sometimes it takes more than one treatment session.