Lip filler migrating into wet dry border - Can I achieve successful results from lip filler again? (photo)

Hi @starla33. I'm sorry you are dealing with this. Sometimes it does take more than 1 round of Hylenex to fully dissolve the lumps. I recommend going to an expert injector for further treatments.

Best of luck,

Dr. Nima

I would highly recommend getting a formal evaluation with and treatment from a board-certified cosmetic dermatologist and expert in facial sculpting. Technique is the key to a successful lip augmentation with fillers, so you'll want to see someone meticulous. An experienced physician will be able to determine which filler, how much filler, and which technique will give you the subtle result you're looking for. See an expert. Best, Dr. Emer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

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