Depletion or Migration Caused by Lip Ring? (Photos)

Thank you for reaching out with your concerns regarding the changes you've noticed in your upper lip after receiving filler and leaving your lip ring out. Based on your description and photos, it seems you are experiencing a challenge with maintaining consistent volume in the area above your lip ring.

Here are some considerations and suggestions:

Filler Migration: It is possible that the filler has migrated, especially given the presence of a lip ring which can sometimes influence filler placement and stability. Migration can occur due to several factors, including the type of filler used, technique, and the pressure exerted by jewelry.

Repeated Depletion: If the volume appears to deplete quickly, it could be due to the natural movement and manipulation of the area, especially if the filler was placed superficially. The body's response to the filler, as well as the mechanical pressure from the lip ring, might contribute to this issue.

Consultation with a Specialist: I recommend consulting with a board-certified dermatologist or plastic surgeon who specializes in facial fillers. They can assess whether the filler has indeed migrated or been absorbed and suggest appropriate interventions. Options might include:

Reevaluation of Filler Type: Some fillers are more prone to migration than others. Your specialist might recommend a different product.
Technique Adjustment: An expert can refine the technique to better support the filler in the desired location.
Consideration of Jewelry Impact: Discuss the potential impact of the lip ring on filler stability with your specialist. They might suggest alternatives or adjustments to minimize interference.
Acceptance of Asymmetry: If maintaining the lip ring is a priority, some degree of asymmetry might need to be accepted. However, an experienced injector can often find a balance that minimizes this while accommodating your aesthetic preferences.

Follow-up Appointments: Regular follow-ups after filler placement can help track changes and address issues promptly.

I hope this information helps guide your next steps. Please feel free to reach out if you have any other questions or need further assistance.

As seen by your photos, lip filler added to the vermillion border can create a beautiful lip flip, which is much better controlled and more precise than botulinum injected to the same area. If you need a bit of adjustment, it can easily done with hyaluronidase. Best from Boston!

The information you provided is a bit limited in order for us to make an assessment.
I suggest you skip lip fillers for 6 to 12 months to return to baseline then find a better provider.
In my experience fillers do not migrate.
In over 30 years of injecting HA fillers I’ve never seen fillers migrate.
I believe the concept is simply an excuse Providers use instead of owning their results.Finding providers who do exceptional filler work is not easy.
This kind of work takes decades to master.
It is not a simple thing if you want consistent quality outcomes.
Best,
Mats Hagstrom MD