Can I massage the excess filler in my mustache area into my actual lip? (Photos)

Question

I have excess filler that is around my upper lip where I do not want it to be. I have had it dissolved multiple times it helps but I don’t want to keep spending money for it not to work entirely. Was wondering if there was a way I could push the filler down into my lips, massage it, or apply pressure to make it go away?

Nima Shemirani, MD · Answer

Hi @realstargirl98. This appears to be lip filler migration. Hyaluronic acid facial filler products that were previously injected into an improper tissue plane can be dissolved by hyaluronidase injections. Best of luck, Dr. Nima!

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your pictures and question.  I do not believe massaging the area will encourage the filler to move down into the lip area.  Please book an appointment with your injector so they can review and if necessary use hyaluronidase to dissolve the concerned area.  All The Best

Aldo Guerra, MD · Answer

Hi RealStarGirl.I don't believe massage will help top move your filler down. Since you already had it dissolved, I would suggest you see an expert injector for a second opinion. Perhaps, additional treatments can resolve this issue for you. Best wishes, Dr. ALDO

Alicia Sigler, MD · Answer

Hello and thank you for your question. No it is not recommended that you attempt to replace the fillers yourself by any means. The appropriate course of action would be to schedule an appointment with either a dermatologist, or a plastic surgeon who specializes in treating excess fillers. They may be able to inject an enzyme called hyaluronidase, if the filler that you had injected was hyaluronic acid. However, if you had a different filler injected, it may need to be removed surgically.

Jason Emer, MD · Answer

Firm massage may give some improvement. However, the best way to improve this is to have it dissolved with hyaluronidase. It takes a series of treatments. Best, Dr. Emer

Kenneth D. Steinsapir, MD · Answer

These lips are a bit extreme.  There is only so much space for filler in the actual lip edge.  After than it begins to escape into the surround tissue.  Massaging this will not resolve the issue. Unfortunately, modifying this will require a pretty aggressive enzyme service that will likely remove more filler than desired.  It is basically impossible to precisely shape these services with the enzyme.  It is simply just not that accurate.  Obviously, you have gone to a lot of effort to get the lip shape you have and you understandably are highly invested in this look.  However, it is, yes, a bit over the top. The important thing is to decide what you want and find an empathetic injector who can help you realize your vision.

Robert M. Tornambe, MD · Answer

realstargirl98.   I appreciate your concern, however It is doubtful that further massage will correct the problem.  The compound used to dissolve unwanted filler, hyaluronidase, is extremely effective when injected in the proper area and at the proper concentration. If your injector is unable to correct the problem, I recommend that you seek second opinion with a board-certified plastic surgeon or dermatologist in your area. Good luck.

Ross A. Clevens, MD, FACS · Answer

Thank you for your question. Your lip filler should continue to subside as you recover the injectable. You can massage the filler if it relieves pressure. Please continue to work with your board certified facial plastic surgeon and medical team to develop a treatment plan to achieve your desired result.
Best wishes,

T.G. Khan, DO, FACS · Answer

If you had several treatments to dissolve it, they were not done properly. Usually it takes one or two treatments to reverse the correction with lip fillers. Massage does not help to reposition fillers.

Ryan Welter, MD · Answer

Thank you for your question and photographs.  Unfortunately, massage above the upper lip will not push product into the lip.  My advice is to return to your injector for an evaluation and possible hyaluronidase injection to dissolve the areas of concern.  Best of luck.

Can I massage the excess filler in my mustache area into my actual lip? (Photos)

Answers (12)

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