How to Keep Juvederm Ultra Plus from Migrating?

I Just Had Juvederm Ultra Plus Injected in my Cheeks, What is the Best Way to Keep the Filler from Moving Around?

Doctor Answers 20

Migrating Not Typically Problem with Filler in Cheeks

Following injection with Juvéderm Ultra Plus, the filler is usually fixed in place and held by the surrounding connective tissue.  However, aggressive massaging could cause the filler to become dislodged. We tell patients not to massage the area or to get a facial massage for the first 24 hours after the treatment, but migrating typically is not a problem. 

Palm Springs Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Juvederm Rarely Migrates

Thank you for your question.

Injectable fillers stay in the areas where they are injected and do not move freely under the skin. While it is possible to slightly mold the filler within its injected location it is not possible to manipulate the product into another location, nor does the product move on its own.

If you notice volume migrating it is most likely swelling. Swelling is temporary and resolves spontaneously, usually by about one week after treatment.

I hope this helps.

Steven H. Williams, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 49 reviews

How to keep the Juvederm from migrating

Juvederm injected in the tear troughs may migrate. Everywhere else it tends to stay put.  I don't recommend massaging the injected area for the first day or two as it can mold the gel somewhat differently than intended.  But generally, for Juvederm in the cheeks, there is not much concern about migrating.

Emily Altman, MD
Short Hills Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Juvederm Ultra Plus Migration

In my experience, Juvederm does not easily migrate in the face.  It tends to stay where it was injected and molded into place.  I always advise our patients to keep their hands off and do not manipulate the product. 

Dr. Grant Stevens


Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 145 reviews

Juvederm moving after Cheek Augmentation

When we inject Perlane, Radiesse and in rare cases, Juvederm Ultra Plus into the cheks for Cheek Augmentation, I always massage the material to create the desired shape.  This should place the filler into the correct area within the tissues and prevent migration.  Tissue is like a sponge with layers throughout and doesn't have spaces for the filler to drop or roll into.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

How to Care for Your Skin After Juvederm Injections

I advise all my patients to keep a "hands off" approach to the treated areas after any filler injections. At the time of the injection treatments, I will massage all of the filler products so they are exactly where I want them. Once my patient leaves the office they have been instructed to wash the area gently and to use sunscreens and moisturizing lotions as needed. Both Juvederm and Restylane are made of hyaluronic acid, a natural component of the skin. They will often cause immediate swelling which can be made worse by the patient manipulating the area. So the best way to keep the filler from "moving around" would be to leave it alone!


Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Juvederm Migration

Juvederm usually does not migrate. It is best to avoid touching or masaging the area after you recieve the filler.

Jeffrey Weinzweig, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 61 reviews

Juvederm doesn't migrate

While Juvederm doesn't usually migrate, you can help minimize any risk of migrationg by not touching or rubbing your face after your treatment. You shouldn't massage the area, and if you find that there are any lumps or bumps, please see your injector so that they can massage these out for you.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Preventing Juvederm Ultra from migrating post injection into cheeks

If the injector is an experienced and expert physician, then juvederm migration is rare.

From a patient perspective, do not massage in the area, follow post treatment directions, and request clarification prior to doing any activity that may displace the product.  

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Juvederm Ultra Plus should not migrate

For the first week, you should avoid massaging the areas, retinols and facials.  Try to sleep on your back, not on your cheeks.  Once any bruising or swelling has resolved, you can return to your normal routine. 

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.