Is my lip filler migrating? (Photo)

Based on your photos, you have a smooth and full lip appearance on the top and on the bottom. Since you are seeing filler on the white part of your upper lip, I agree that adding more filler would just be contributing to the problem. Thank you for the question. Sincerely, Dr Joseph

Hi @ashberrrry! It appears that you do have lip filler migration to the top lip beyond the vermillion border. I recommend dissolving the product with Hylenex. Adding more filler will make the problem worse. Best of luck to you!

Hi there! It's possible that the filler is migrating. In there red lip, there is limited space for filler to go. Sometimes, it will move or push on the white lip creating an unnatural fullness. Your lips look quite nice. In a patient such as yourself, I would recommend subtle maintenance without increasing the volume too much. Hope that helps!

Hi Ash, Dr. Walter Joseph here from Beverly Hills, CA! I hope you're well. Although it's a bit difficult to tell from a photograph and without a proper exam, it does appear that you're having a bit of filler migration on your top lip. There seems to be some filler that is beyond your vermillion border (the border between the pink of the lip and the skin), particularly in the 2nd photo of the oblique view. In this situation, I would typically recommend dissolving the existing filler that has extended beyond the lip and the vermillion border and re-augment 2 weeks after dissolving. I hope this helps, and please let me know if you have any more questions!

Whether it's migrated, put in the wrong place, too much filler put in too quickly, or the wrong filler for the area, that shelf will not spontaneously resolve itself for a long time if at all. You should be seen in person to be evaluated, but plan to dissolve the filler and refill.

Based on your photos you do not want to add any additional filler at this time. It will likely make the situation worse. It appears that the filler has migrated. You can either elect to dissolve it or let it be metabolized gradually by the body.

There is a limit to how much filler a person can get, and you went above your limit. Your lips are overfilled and I recommend not get anything added. Lip filler done well should not leave you with "duck lips." Yes, your lips will be bigger/swollen the first 1-2 weeks while the filler settles, but 6 months is when your filler is starting to get absorbed. Your nurse was asking you to wait till some of it gets absorbed, then continue to overfill. I would absolutely wait, for probably a year, before adding. You may even want to consider getting them dissolved and start over with a nurse injector who starts off slow and adds as needed. Especially if this was your first time, two full syringes in one month is a lot for anyone.

Thanks for your question! It’s important to have a provider perform an in-person consultation to assess your filler, but it does appear that you’re experiencing some slight migration. I would not recommend getting more filler at this point as it could exacerbate your concerns. If your current results bother you, you can always dissolve the filler with hyaluronidase (this only works if you were treated with a hyaluronic acid-based filler like Juvéderm or Restylane, though). Otherwise, you can let your body naturally metabolize the filler over time, which typically takes about a year. Hope this helps!

Based on your photos, it looks like your filler has migrated. I would recommend dissolving that shelf. More filler at this point would make that worse.

I would leave your lips as they are. They look fine and adding even more filler would not look good!