Has my lip filler migrated? (Photos)

Question

Does this look like lip filler migration? I've never had this done before and I am really concerned.

Eric M. Joseph, MD · Answer

Many people who get temporary gel fillers in their lips will experience puffiness of the white portion of the lip. I understand that many people will describe this as migration, however, since these fillers are hydrophilic, they tend to hold on to water, and lead to an exaggeratedly puffy appearance. If you are dihssatisfied with your lip appearance, consider having the HA Dissolved. Wishing you well. Sincerely, Dr Joseph

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photos and for describing your concern—it’s completely understandable to be worried, especially if you haven’t had lip filler before.

From what I can see, what you’re noticing could be a number of things. Filler migration is when the product moves slightly from the original injection site, but it’s relatively uncommon, especially in people who are getting filler for the first time and if the injections were done carefully. Sometimes what looks like “migration” can actually be:

Swelling or uneven distribution from recent injections

Natural asymmetry of the lips

Normal tissue changes or puffiness that can happen temporarily

Since you mentioned you’ve never had filler before, it’s also possible that what you’re noticing is just your natural lip shape or minor swelling. Filler tends to settle over the first 1–2 weeks, so small irregularities often smooth out on their own.

In short, it doesn’t appear to be concerning migration, but subtle changes can be normal early on. Most of the time, minor asymmetry or unevenness improves as the product integrates with the tissue.

Has my lip filler migrated? (Photos)

Answers (2)

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