Lip filler- empty pocket with chronic swelling (Photo)

Question

I started getting lip fillers in 2005 and it developed a migratory "log" -a firm ridge of filler - behind my top lips. One side looked fine, but the other moved like a stiff bar and lacked soft natural animation when I spoke. Eventually tried hyaluronidaise to try and correct JUST the one side. I ended up with an empty pocket that now appears as a bubble and overtime trying to balance and fix it's become a mess. Also I have chronic swelling in the floppy pocket. Nightmare.

Falguni Patel, MD, FACOG · Answer

It sounds like you have an  extensive history of augmenting your lips- which is perfectly normal and fine. That being said, filler treatments have changed dramatically since 2005. My best recommendation would be to dissolve your lips completely as the lumps you are describing in the inside of your lips are a result of filler migration into the wet-dry border which is very delicate. You will have to give your lips extensive time to fully heal after-possibly 6-12 months. Non-invasive radio frequency treatments like Forma and PRP injection may help to correct the current state of your lip tissue--- prepping the area for possible refilling in the future.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the challenges you're facing with your lip fillers. Here are some steps and considerations that might help address the issues:

1. Consultation with an Experienced Specialist:
   - Seek a consultation with a board-certified dermatologist or plastic surgeon who specializes in facial aesthetics and has extensive experience with lip fillers and complications.
   - Bring any previous medical records, photos, and a timeline of the treatments you've undergone.

2. Assessment and Imaging:
   - The specialist may recommend imaging studies, such as ultrasound, to assess the extent of the filler migration, the nature of the empty pocket, and any underlying issues contributing to the chronic swelling.

3. Managing Chronic Swelling:
   - Chronic swelling may be due to inflammation, infection, or an immune response. A thorough examination will help determine the cause.
   - Anti-inflammatory medications, such as corticosteroids, may be prescribed to manage swelling.
   - If infection is suspected, antibiotics might be necessary.

4. Treatment Options:
   - Hyaluronidase Reassessment: If residual filler is still present, a cautious and targeted use of hyaluronidase might help dissolve any remaining filler causing issues.
   - Surgical Correction: In some cases, surgical intervention may be required to remove any encapsulated filler material or to correct the structural issues causing the pocket and swelling.
   - Filler Redistribution: Carefully placed filler injections might help balance the lips and reduce the appearance of the empty pocket, but this should only be done by a highly skilled injector familiar with complex cases.

5. Supportive Care:
   - Massage and Physical Therapy: Gentle massage techniques, as advised by your specialist, may help redistribute the filler and reduce swelling.
   - Cold Compresses: Applying cold compresses can help manage acute swelling and discomfort.

6. Preventive Measures for Future Treatments:
   - Discuss alternative filler materials or techniques that might reduce the risk of migration and chronic issues.
   - Ensure any future treatments are performed by a highly experienced professional who is aware of your medical history.

7. Psychological Support:
   - Dealing with chronic cosmetic issues can be distressing. Consider seeking support from a counselor or therapist to help manage any emotional or psychological stress.

8. Follow-Up:
   - Regular follow-up appointments with your specialist will be crucial to monitor progress and make any necessary adjustments to your treatment plan.

Remember, each case is unique, and a personalized approach is essential. Ensure open communication with your healthcare provider and discuss all your concerns and treatment options thoroughly.

Lip filler- empty pocket with chronic swelling (Photo)

Answers (2)

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