Have lip fillers migrated? Can it be corrected without dissolving? (photos)

Question

I’ve had fat transfer to my lips, with an additional .5 of filler by the same surgeon who did the transfer. I always had a “shelf” looking upper lip even prior to fat transfer. My question is, is my lips migrated? And what are my options if I don’t want to use dissolver?

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. Based on the photos, the filler appears to have migrated. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Kenneth D. Steinsapir, MD · Answer

I know those posts are out there. It is not true. I have treated thousands of patients with hyaluronidase. No one gets wrecked skin. You do not need to be afraid of having enzyme service. That filler never actually disappears. It migrates and changes over time. I have treatment women with filler issues from a service from 20 years ago. It is resolved with enzyme in seconds. It is not accurate to believe that the filler will just disappear. It doe not. The best approach is to work with an experienced injector and have an appropriate dose of hyaluronidase. Within seconds your lip will look better.

Lexie Wang, MD · Answer

It looks like you are overfilled/migrated. Depending on how long ago the filler and fat transfer were, some of it will naturally dissipate with time. You can try massaging to help it go along faster, if you don't want to do dissolver.

- · Answer

Based on the photos you provided, your lip filler does not look migrated. I recommend you going back to your surgeon and discussing your concerns to achieve the goals you want for your lips.

Mats Hagstrom, MD (license on probation) · Answer

In my experience of injecting, fillers for close to 25 years, I’ve never experienced fillers migrating.
I don’t believe that fillers ever migrate and the term is used as a poor excuse for badly done work.
I don’t see any inherent problem with your lips.
Perhaps they’re a little over treated but that should settle down with time.
It would be helpful to understand how long ago you had fat transfer.
It’s going to be pretty difficult to differentiate the results of the fat transfer if you simultaneously have fillers, injected.
I see no reason to dissolve your fillers.
They should simply reduce on their own.
For most patients lip fillers last about six months which means that have the product has gone in three months.
I suggest being patient and waiting it out.
If you have concerns about the outcome, it would be pretty important to communicate what you don’t like about the results.
Best,
Matt Hagstrom, MD

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