I had Juvederm lip filler 2 years ago and it has slightly migrated above my top lip line unevenly. I had a consult and was told Juvederm is notorious for migrations. She also said if we dissolved it, it will likely just migrate again. Is that true? I'd hate it if my lip were ruined for lip filler forever.
June 13, 2025
Answer: Filler migration and long-term outcomes If your filler was two years ago, then your outcome is not related to filler. At two years any product has been absorbed. In my opinion, fillers do not migrate. I’ve been injecting HA fillers since they were first FDA approved in the 1990s. I have never seen fillers migrate in my practice. In my opinion, the concept of filler migration it’s a poor excuse for bad technique. I don’t think your lip contour can be improved with filler reversal at this point. Fillers can create long-term permanent changes in soft tissues. We don’t really know the mechanism of why this happens to some patients. Your picture shows a fairly normal looking set of lips without obvious deformity. Facial asymmetry is normal, including the lips. Provider selection is generally always the most important variable. Finding the right provider turns out to be much more difficult than most people realize. The number of providers who approach mastery of this kind of work is in reality quite small. Average work gives average results. I have no reason to believe a new treatment of HA fillers will migrate because I don’t believe fillers migrate in the first place. Best, Mats Hagstrom MD
Helpful
June 13, 2025
Answer: Filler migration and long-term outcomes If your filler was two years ago, then your outcome is not related to filler. At two years any product has been absorbed. In my opinion, fillers do not migrate. I’ve been injecting HA fillers since they were first FDA approved in the 1990s. I have never seen fillers migrate in my practice. In my opinion, the concept of filler migration it’s a poor excuse for bad technique. I don’t think your lip contour can be improved with filler reversal at this point. Fillers can create long-term permanent changes in soft tissues. We don’t really know the mechanism of why this happens to some patients. Your picture shows a fairly normal looking set of lips without obvious deformity. Facial asymmetry is normal, including the lips. Provider selection is generally always the most important variable. Finding the right provider turns out to be much more difficult than most people realize. The number of providers who approach mastery of this kind of work is in reality quite small. Average work gives average results. I have no reason to believe a new treatment of HA fillers will migrate because I don’t believe fillers migrate in the first place. Best, Mats Hagstrom MD
Helpful