I have been getting lip filler for years and not had issues. About 2 years ago I went to a different injector and had bad migration to wet dry border where lumps showed when I smiled. I went to someone else and had that dissolved and redone. Now every time I get my lips done I get migration to that area. I don't know that too so. I have now waited a year since my last filler and still have the 2 lumps in the wet dry border. Is it just not possible for me to get filler ever again?
January 28, 2023
Answer: Long term filler consequences Theoretically fillers should eventually dissipate bringing your tissues back to baseline without permanent change. In reality there are patients who is the permanent changes after having fillers. Whether this is residual filler or scar tissue from an inflammatory responses from minor trauma is uncertain. Personally I don’t believe fillers migrate. I simply have never experienced it and I’ve been doing fillers since they first came out in the 1990s. The concept of fillers migrating is simply a poor excuse for badly done procedures. I can’t explain why you had poor results after your poorly done procedure but I still don’t believe that fillers migrate. Provider selection is critical to getting an assessment and quality outcomes. Different providers have different techniques for doing the fillers. Personally I am jacked all lip fillers from the commissure of the mouth only with a single injection for each lip quadrant. I inject only parallel to the lip. Personally I prefer to pre-inject the lips with lidocaine and high doses of epinephrine (1:30,000). Doing this caused servers temporary vasoconstriction which not only makes the injection of filler completely painless but also dramatically minimizes any chance of bleeding and bruising. Different providers have different ways of doing these procedures. I’m not saying that my technique is necessarily better than what other people do but it seems to work well for me and it has become my way of doing it. my technique is evolved over the years of gradually trying different ways of working with fillers. If you have a preferred provider then consider working with that person. I suggest going very cautiously with small volumes and consider gradually increasing injecting volumes after proven successful outcomes. It may not be possible to correct the lumps or uneven contour of your lips. it should however be taken into consideration when doing fillers by potential providers. In the end you’ll have to decide on your own if this is something worth pursuing. Best, Mats Hagstrom MD
Helpful
January 28, 2023
Answer: Long term filler consequences Theoretically fillers should eventually dissipate bringing your tissues back to baseline without permanent change. In reality there are patients who is the permanent changes after having fillers. Whether this is residual filler or scar tissue from an inflammatory responses from minor trauma is uncertain. Personally I don’t believe fillers migrate. I simply have never experienced it and I’ve been doing fillers since they first came out in the 1990s. The concept of fillers migrating is simply a poor excuse for badly done procedures. I can’t explain why you had poor results after your poorly done procedure but I still don’t believe that fillers migrate. Provider selection is critical to getting an assessment and quality outcomes. Different providers have different techniques for doing the fillers. Personally I am jacked all lip fillers from the commissure of the mouth only with a single injection for each lip quadrant. I inject only parallel to the lip. Personally I prefer to pre-inject the lips with lidocaine and high doses of epinephrine (1:30,000). Doing this caused servers temporary vasoconstriction which not only makes the injection of filler completely painless but also dramatically minimizes any chance of bleeding and bruising. Different providers have different ways of doing these procedures. I’m not saying that my technique is necessarily better than what other people do but it seems to work well for me and it has become my way of doing it. my technique is evolved over the years of gradually trying different ways of working with fillers. If you have a preferred provider then consider working with that person. I suggest going very cautiously with small volumes and consider gradually increasing injecting volumes after proven successful outcomes. It may not be possible to correct the lumps or uneven contour of your lips. it should however be taken into consideration when doing fillers by potential providers. In the end you’ll have to decide on your own if this is something worth pursuing. Best, Mats Hagstrom MD
Helpful