Has my lip filler migrated? (Photos)

Question

Hello! It’s been 3 months since I’ve had lip filler. I am so worried it looks like it’s migrated above the lip

Lexie Wang, MD · Answer

it looks like it might have migrated a little bit but it's not too bad... given the issues with hylenex, I would avoid dissolving if you can avoid it and see what your body breaks down naturally vs if it really drives you crazy then dissolve away.

Gary M. Horndeski, MD · Answer

It appears the filler has migrated above the lip and has created a ridge like effect. I recommend you dissolve the filler. After you may be a candidate for an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Anna Chacon, MD, FAAD · Answer

It’s common for patients to worry about filler migration around the lips, since swelling and small irregularities can linger for weeks to months. 
True migration usually shows as filler sitting above the natural border of the lip, sometimes creating a ridge or “puffiness” under the skin. 
At 3 months, what you’re seeing is likely your settled result rather than swelling. If there is minor migration, it can be corrected — options include dissolving the filler with hyaluronidase or carefully reshaping with additional filler. 
The best next step is to have your injector (or another experienced provider) examine you in person to confirm whether it’s migration or just normal anatomy. 
The good news is that both situations are very treatable.
I recommend an in-person consultation with a board-certified dermatologist or plastic surgeon to confirm the diagnosis and discuss the best treatment options for you.

Camille Cash, MD · Answer

From the submitted photos it does appear the lip filler has migrated.  You can visit with your injector to dissolve it with hyaluronidase.  If you do nothing it will slowly be metabolized by your body.  I've included a video about fillers that I hope you find helpful.

Has my lip filler migrated? (Photos)

Answers (4)

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