Should I consider dissolving my migrated lip filler before getting more? (photos)

Question

I, 31 (F) got lip filers from 2017-2021, I can’t say how many I got but I believe it was all Juvaderm. I got them dissolved (1 syringe) in 2021 because I had a lump in my inner lip. The pain was pretty bad but at least it was gone. Recently, I thought about getting more filler but wanted to know if I needed to dissolve more? I don’t feel that I do, but it was recommended I do because I have filler migration (I don’t see it) and that filler moves to the migration if more is added.

Anna Chacon, MD, FAAD · Answer

When considering additional lip filler after previous treatments and a history of filler migration, it's important to evaluate the current state of your lips. If there is indeed filler migration, dissolving the migrated filler before adding more can help achieve a more natural and desirable result. Filler migration can cause unevenness or unnatural fullness, which might become more pronounced if additional filler is added on top of it.

Since you mentioned that you don’t see the migration, it might be helpful to consult with a qualified and experienced practitioner who can assess your lips in person. They can provide a detailed examination and use techniques such as palpation to determine if any filler remains and whether it has migrated. If filler migration is confirmed, dissolving it could be a beneficial step before proceeding with new filler injections.

Ultimately, achieving the best aesthetic outcome relies on starting with a clean slate, ensuring that any new filler is placed precisely where it will enhance your natural beauty. If you decide to move forward with more filler, ensure your practitioner is using techniques that minimize the risk of future migration.

Nick Slenkovich, MD · Answer

Hello, my name is Lauren, and I’m the aesthetics provider at Colorado Plastic Surgery Center. Filler can sometimes migrate above the vermillion border over time. Starting with a clean slate is often beneficial, as adding more filler can potentially worsen any existing migration—even if it isn’t immediately visible.

Camille Cash, MD · Answer

It's best to have the migrated filler dissolved before adding more. Sometimes it can take more than one session to fully dissolve the targeted filler.  This can help you see where you want more or less volume, and ultimately get you to the result you are wanting.

Kenneth R. Francis, MD, FACS · Answer

Dear seldee,
It looks as if you have filler migrated all the way to the base of your nose.  The addition of more filler will likely create an even worse migration.  Consider dissolving more for sure.  Good luck!

Should I consider dissolving my migrated lip filler before getting more? (photos)

Answers (4)

Answer: Lip filler migration

Answer: Lip filler migration

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Should I consider dissolving my migrated lip filler before getting more? (photos)

Answers (4)

Answer: Lip filler migration

Answer: Lip filler migration

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.