Why could I sometimes experience swelling in the injected areas (usually when I wake up in the morning)?

Question

Greetings. I am 30 yr old female who's had Amalian Fillers injected to cheeks and lips about 3 years ago. I know they say it can last up to a year but to be honest I think mine is still visible (I can feel the Filler still). I am very pleased that it after so many years still is visible results but sometimes I experience swelling in the injected areas - usually when I wake up in the morning. It's like water is retained and the area is a little sore during these "reactions". Why could this be?

Paul Munsanje, MD · Answer

All fillers attract water and cause swelling. I’m not familiar with the filler that you are describing, but I understand that it’s more difficult to make short chain fillers, like Vycross from juvederm.
Filler does last longer than one year, particularly in areas that don’t move very much. Swelling happens regularly with normal life activities, for example, if you sleep on your front or side, you will typically experience swelling of the face in the morning because of gravity, pulling the fluid downward. Many of my patients have reported fillers being particularly swollen in the mornings during pregnancy, another time of increased swelling. 
Hope this helps.

Why could I sometimes experience swelling in the injected areas (usually when I wake up in the morning)?

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