Lip filler migration. Should I have it dissolved?

Question

I had Volbella injected 2 years ago bd only half a vial. I think it has migrated..... Can you please tell me if I should have it dissolved?

Marc Polacco, MD · Answer

Thank you for your question. In general, most of the filler should have resorbed by now. However, if there is concern for migration, the filler could be dissolved with an injection. It's really up to you if you want is dissolved or not. If it isn't causing an issue, it's probably best to leave it alone.
-Dr. P

Nick Slenkovich, MD · Answer

Hello, my name is Lauren, and I’m the aesthetics provider at Colorado Plastic Surgery Center. In some cases, filler can migrate over time, and starting with a clean slate is often the best approach. Adding more filler on top of the existing product, especially if there’s already some migration, even if subtle, can sometimes worsen the issue.

Brandon Richland, MD · Answer

Hello, and thank you for your question. It is hard to determine if any filler has migrated, especially without seeing pictures or seeing you as an in-person consult. Half a syringe is a very small amount, and if it was placed 2 years ago, it may not be fully present but still possible it could have migrated slightly. I would recommend seeing a provider in person to see if it truly is filler that has migrated and if this can be dissolved! Hope this helps!

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Nima Shemirani, MD · Answer

Hi @Soannoyed247365! Getting the filler dissolved is a personal choice. If the filler placement is bothering you, I recommend you go to a skilled injector and get the filler dissolved with Hylenex. Best of luck to you!

Camille Cash, MD · Answer

As it has been two years since your lip filler treatment chances are the filler has metabolized.  I encourage you to return to your injector for an evaluation.  If some filler is still present you can elect to have it dissolved with hyaluronidase.

Douglas Taranow, DO, FACOS · Answer

Volbella usually completely disappears within 8-15 months.  This is not to say that someone may still be having issues with injectables over 2 years later, just very rare.
Photos and certainly a physical exam would aid in our diagnosis.
See a board certified plastic surgeon for their opinion.  If any question that it is residual filer, have it dissolved with Hylenex.
best wishes.
Dr. Taranow

Anshul Gambhir, MD · Answer

Thank you for your question. It is really hard to determine if you should have it dissolved without seeing what the filler looks like. If it is bothering you then you can have it evaluated by your previous injector and they can dissolve it if they believe filler is still there. Typically volbella lasts about 8-15 months. Hope this helps!

Lip filler migration. Should I have it dissolved?

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