Removal of undissolved HA lip filler 10 years later - Can a second surgery remove the migrated filler? (Photos)

The situation you're describing involves several complex issues related to migrated hyaluronic acid (HA) filler, potential scar tissue, and loose skin. Here are some considerations and potential treatment options:

Second Surgery for Migrated Filler: If the migrated filler remains after the first surgery, a second procedure might be necessary to target the residual filler. This would typically involve careful surgical removal by a specialist experienced in facial anatomy and filler complications. It's crucial that the surgeon evaluates the extent and location of the migrated filler to plan the best approach.

Loose Skin and Capillary Concerns: For the loose skin with broken capillaries, treatments such as laser therapy or microneedling could help improve skin texture and appearance. These treatments can stimulate collagen production and improve the appearance of broken capillaries. A dermatologist or cosmetic surgeon can provide guidance based on a thorough examination.

Scar Tissue Management: If there is scar tissue present, steroid injections can sometimes be effective in softening and reducing the appearance of scars. However, this should be evaluated on an individual basis, as steroid injections can also have side effects, such as thinning of the skin.

Chronic Inflammation: Addressing the habit of picking and managing any inflammation is crucial. Topical treatments and behavioral interventions to reduce picking might be recommended to allow the area to heal properly.

It would be beneficial to consult with a board-certified dermatologist or plastic surgeon who specializes in corrective procedures for filler complications. They can offer a tailored approach based on the current condition of your lips and surrounding tissue.