Will a small amount of migrated filler dissolve naturally? (Photo)

Question

I had 0.9ml of filler injected in June 2023 by a practitioner who used the standard filling technique. I then went to a different practitioner last week who told me I have a very small amount of migration on the left side of my lip. She gave me the choice to dissolve before going ahead but told me that dissolving damages the natural collagen/lip tissue and my lips could end up smaller naturally. Will a small bit of migration dissolve naturally?

Camille Cash, MD · Answer

If you choose not to dissolve the migrated filler it will be metabolized naturally over time.  Typically lip fillers last six months to a year depending on the type of filler selected.  I've included a video that I hope is helpful.

Anna Chacon, MD, FAAD · Answer

Thank you for your question and for providing a photo. Filler migration is a common concern among patients. Typically, hyaluronic acid fillers, which are commonly used for lip augmentation, can gradually dissolve over time as the body metabolizes them. This process can take several months to a year depending on the type of filler used and individual metabolic factors.

While some minor migration can resolve on its own, it is not guaranteed. The natural breakdown process might not entirely correct the migration, especially if it is noticeable. If the migration is minimal and not causing significant aesthetic concern or discomfort, you might choose to wait and monitor the situation.

Regarding your concern about dissolving the filler, hyaluronidase is an enzyme used to dissolve hyaluronic acid fillers. There is some debate about its impact on natural collagen and tissue, but many practitioners use it effectively with minimal long-term effects. The decision to use hyaluronidase should be based on a thorough evaluation and discussion with a qualified and experienced practitioner.

Ultimately, it is important to weigh the pros and cons of waiting for natural dissolution versus using hyaluronidase to address the migration. A personalized consultation with your dermatologist or aesthetic practitioner can help you make an informed decision.

Will a small amount of migrated filler dissolve naturally? (Photo)

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Everything you need to know about Lip Fillers

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Will a small amount of migrated filler dissolve naturally? (Photo)

Answers (2)

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Recommended reading

Everything you need to know about Lip Fillers

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