Delayed Migrating or Swelling after Filler treatment.

At 5 or 6 weeks most of the swelling due to the injection should be resolved. If you are experiencing some swelling sleeping with your head slightly elevated may be of benefit to you. Also, cold compresses 10 mins on 10 mins off may help. Filler should not be migrating. Without an in person examination I am not able to give you an accurate assessment. Schedule an appointment with an experienced injector to discuss appropriate treatment. Best of Luck. 

Because it has already been a few weeks after your treatment, you may be experiencing swelling or too much filler was injected. I recommend you see your injector to discuss your concern and see if a corrective treatment with hyaluronidase would help. 

Hello missey1234,Thanks for your question.  It would be unlikely to be experiencing Juvederm migration at this point.  You may have some residual swelling from inflammation or you may have been injected with too much Juvederm.  Juvederm tends to display minimal post-injection swelling.  Go see your injector and inquire about their use of hyaluronidase, the enzyme that can be injected into areas of over-injection of Juvederm to rapidly remove any excess.Good luck,Dr. Shah

Thank you for your
question.If the Juvederm has been in for 5-6 weeks, then it is highly unlikely that it is migrating. It is most likely some residual swelling or inflammation.  If you feel you have too much filler, you can have it removed with hyaluronidase or you can wait a little longer for the swelling to settle down.If it were me, I would wait.

To be sure, return to see your injector or see
two or more board-certified providers in your area for a complete evaluation to
make sure you are a good candidate and that it is safe for you to have these
treatments.

I hope this helps.

It is normal to have some swelling after juvederm injection. Juvederm can also migrate. Without more information about your treatment including the location and amount injected in the exact nature of the symptoms you're having it is very difficult to provide meaningful advice. I strongly suggest returning to the physician who injected you and reviewing your treatment results. Best of luck.

The first question is what is the type of filler used on you?  In general fillers don't migrate after 5 to 6 weeks.  The options are simply delayed swelling, overfill of the area with filler or inflammation due to the filler's presence.  Cold compresses are always helpful and will not hurt.  Benadryl is unlikely to be helpful at this late time.  At 5 weeks it is time to go back to your injector and ask them to evaluate you. It's time for an examination.

The possibility that you are having delayed migrating of Juvederm six weeks post injection is highly unlikely. Also, swelling at this point is not normal and should be checked out by your Juvederm injector. You will probably need an injection of Hyaluronidase, which is an enzyme that dissipates Juvederm. Good luck.

This problem occurs relatively frequently with Juvederm as it absorbs water over time and this results in puffiness and a watery looking swelling   Because it can occur either within a week or a few weeks later it may seem that the juvederm moved to another area whereas it was always there   It can take years sometimes for these lumps to go away but they can be removed with an injection of a special enzyme that is readily available to your practitioner. 

Nothing you do will change the Juvederm at this point. Don't use ice or Benadryl. You haven't described where the Juvederm was injected. If it bothers you, consult your doctor and see if hyaluronidase is an option. 

Dear Missey1234,

In general, soft tissue fillers do
not migrate following injection, depending on the technique employed. If a microcannula was deployed in injecting
the soft tissue filler at multiple levels, displacement from vibrations is
extremely common, as each little aliquot of soft tissue hyaluronic acid sugar
gel is inserted within a circular, dispensable soft tissue envelope of your
face and does not allow migration. If a
globular or droplet technique was deployed, there may be some dispersion or
loss of volume and shape following the procedure.

In general, after six to nine
months, a significant reduction of swelling should restore your filler result
to its final form.

I trust this has been of some
assistance and best of luck.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto