Lip Filler Migration Query. Is this caused by 'empty pockets' above my lip? (Photo)

Thank you for sharing your question and photographs. You do not have empty pockets above your lips but rather either the type of injections provided, or the amount of filler placed resulted in the filler reaching above your lip border. Hope this helps.

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Work with an injector who uses a higher G prime filler like Restylane. Most lip fill is done by mediocre injector. They like runny filler like Juvederm and Belotero. These are less likely to form bumps but much more likely to migrate causing your issue.