Chin Filler and migration - how can I avoid that?

In our practice, we specialize in the use of microdroplet Silikon-1000 for permanent soft tissue augmentation. It works well for permanent chin augmentation. After more than 25 years, we have not seen migration of product in any of our patients. We utilize the serial puncture, microdroplet technique in everybody. We do not advocate the use of cannulas, or a threading technique. Thank you for this question! Sincerely, Dr Joseph

It is a common concern or question from patients whether filler can migrate or not. Essentially the answer is theoretically yes it can but practically speaking wise it does not. Every filler company makes various filler products for different areas of the face - the hyaluronic acid particles have various manufactured characteristics but are still just hyaluronic acid. These differences pertain to elasticity, viscosity, rigidity, and how much they attract water.
For chin filler I like to choose a rigid highly form stable filler material that does not absorb water. I inject this deep in the tissues just in front of the bone. You want a firm rigid filler in this region unlike what you want in the lips which needs to move, be soft, feel flexible etc.
The irony is that the more flexible and soft the filler is, the more it is easily sheared away by movement and lasts less time.
I expect chin filler to last at least one year if not a bit more you can feel free to redo it at any time you feel you need more volume replaced to that area.
For restrictions afterwards I recommend no heavy workout for the day, do not press on the area, no alcohol that day, ice for bruising, I give my patients Arnica as well that helps with swelling. You can expect some swelling and bruising that lasts for a handful of days but should easily subside.

Yes, chin filler can migrate, although it's relatively uncommon. This can happen due to various factors, including the type of filler used, the injection technique, and post-procedure behavior.
Here are some key points:
1. **Type of Filler:** Hyaluronic acid fillers, commonly used in the chin, are generally well-tolerated and less likely to migrate. However, improper placement or excessive amounts can increase the risk.
In your scenario 0.5 ml is quite a small amount that is less likely to migrate from over-filled.
2. **Injection Technique:** If the filler is injected too superficially or in the wrong area, it may move over time. Experienced practitioners are less likely to make these errors.
3. **Post-Procedure Care:** Pressing or massaging the area too soon after the procedure can cause the filler to move.
First 24–48 Hours: Avoid vigorous exercise or massaging the treated area to allow the filler to begin settling. You may experience some swelling, redness, or tenderness during this time. After getting dermal fillers, it's generally advised to wait at least 2 weeks before having a facial massage. This gives the filler enough time to settle into place and minimizes the risk of moving it or causing complications. After 2 Weeks, you can typically resume normal activities like sleeping on your face, including facial massages. By now, the filler should be well-integrated into the tissue.
4. **Anatomical Factors:** Individual differences in skin thickness, muscle movement, and blood flow can also contribute to filler migration.
In most cases, hyaluronic acid (HA) fillers, which are the most commonly used type, will naturally dissolve and be absorbed by the body within a year. If non-hyaluronic acid fillers are used (like calcium hydroxylapatite or poly-L-lactic acid), they break down differently. These fillers are also gradually metabolized and absorbed by the body but over a longer period, sometimes up to 2 years or more.
Make sure your practitioner evaluates the pre-existing filler before adding more volume every year to prevent overfill/pillow face. To avoid that, ultrasound can help determine where the filler has been placed and if it has migrated.