Should I have my migrated lip filler dissolved before getting filler again? (photos)

Question

Hi! I’ve gotten lip filler done twice and a partial dissolvement once to correct a bump and crooked lip filler. I’ve noticed it’s been over two years now and see some migration of my lip filler if I look closely and especially when applying my lipstick, I want to refill my lower lip predominately and am wondering if I should get my lips dissolved partially or fully or not at all? Thanks!

Anna Chacon, MD, FAAD · Answer

When considering whether to dissolve migrated lip filler before getting new filler, there are several factors to take into account. Here are a few key points to consider:

1. **Extent of Migration**: If the migration is significant and visibly alters the natural shape of your lips, dissolving the filler might be the best option to reset the canvas before applying new filler. This ensures a more natural and aesthetically pleasing result.

2. **Desired Outcome**: If your goal is to achieve a more defined and symmetrical lip appearance, starting with a clean slate by dissolving the existing filler can help your provider achieve better results.

3. **Previous Experiences**: Given that you've already had a partial dissolvement to correct bumps and crooked filler, it suggests that there might be some underlying issues with how the filler has settled. Fully dissolving the current filler could prevent similar issues from happening again.

4. **Professional Advice**: It is crucial to consult with a qualified and experienced practitioner. They can assess the current state of your lip filler, the extent of migration, and provide personalized advice based on their professional expertise.

5. **Safety and Efficacy**: Dissolving filler with hyaluronidase is generally safe when performed by a skilled professional. However, it’s important to discuss any potential risks or side effects with your provider.

6. **Timing**: If you decide to dissolve the filler, you may need to wait a certain period before getting new filler to allow your lips to return to their natural state and to reduce the risk of complications.

In summary, while it is often beneficial to dissolve migrated filler before getting new filler, the decision should be made in consultation with a qualified practitioner who can provide personalized advice based on a thorough examination of your lips and your aesthetic goals.

James M. Economides, MD, FACS · Answer

It's great that you're thinking ahead before getting more filler. Whether to dissolve your lips partially, fully, or not at all depends on the extent of migration and your overall goals. Here are some things to consider:

1. Migration Consideration:
Mild Migration: If the migration is very slight and doesn’t significantly affect the overall shape or appearance of your lips, you may not need to dissolve them at all. A skilled injector can often correct the issue by carefully placing filler in the right areas to balance things out.
Moderate/Noticeable Migration: If you notice more significant migration, especially when applying lipstick or seeing the filler outside the natural lip border, a partial or full dissolvement might be beneficial to start fresh. This ensures you avoid any unnatural contours in your final result.
2. Partial vs. Full Dissolvement:
Partial Dissolvement: This is a good option if you only have localized migration or unevenness. The filler in the problematic areas can be dissolved, leaving the remaining filler intact to maintain some volume.
Full Dissolvement: This would be ideal if you want to completely reset your lips before refilling, especially if you want to achieve a new shape or reduce the risk of further migration over time. A clean slate can sometimes give you a better outcome with new filler.
3. Consult with Your Injector:
The best approach is to consult with your injector. They can assess how much migration has occurred and whether partial or full dissolvement is needed. Sometimes, a small amount of hyaluronidase can target the migrated filler without dissolving the entire area.
Final Recommendation:
If the migration is noticeable, it’s usually best to dissolve at least partially before refilling. This will give you a cleaner, more natural result. If the migration is very minor, you might be able to avoid dissolving altogether.

Camille Cash, MD · Answer

The answer to your question is- it depends.  If you are concerned about the migrated filler and fear it could negatively impact the appearance of your lips when new filler is injected, then it would be better to dissolve it and start fresh.  If it isn't bothersome to you then you can proceed as planned.

Should I have my migrated lip filler dissolved before getting filler again? (photos)

Answers (3)

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