What is Lip Filler Migration?

Nash Injections' client with lip filler.

Lip filler migration occurs when the filler moves from its intended area to surrounding regions, causing an uneven appearance. This often results from mistakes in product choice, placement, amount, or technique.

Fortunately, these issues are not permanent and can often be corrected. Solutions include hyaluronidase injections, which dissolve the excess filler, allowing for a fresh start and reapplication if needed.

Managing Lumps and Bumps During the Lip Filler Swelling Stages

Migrated lip injections shouldn't be confused with the usual lumps and bumps. After a lip filler treatment, it's normal to experience some lumps and bumps for several reasons:

  • Swelling: Initial swelling after the procedure can cause the lips to feel lumpy or bumpy. This usually subsides within a few days to a week.

  • Bruising: Bruising from the injection sites can create the sensation of lumps. Like swelling, this typically resolves on its own as the bruising heals.

  • Product Distribution: Sometimes, the filler may not distribute evenly immediately after the injection, causing temporary lumps. Gentle massage by the provider or following their aftercare instructions can help even out the filler.

  • Hyaluronic Acid Integration: If hyaluronic acid-based fillers are used, it takes time for the product to integrate with the surrounding tissue. During this time some unevenness can be felt.

If lumps persist beyond 2-4 weeks, or if they become painful, hard, or appear infected, it may indicate complications. Persistent lumps could indicate issues such as:

  • Overfilling: Too much filler in one area.

  • Nodules or Granulomas: Small collections of inflammatory cells that form in response to the filler.

  • Infection: Rare, but possible if bacteria were introduced during the injection process.

Why Does Lip Filler Migrate?

Filler migration occurs when dermal filler moves from the injection site to another area of the face. This can happen due to several factors:

  • Incorrect Injection Technique: Improper injection techniques, such as injecting the filler too superficially or too deeply, can lead to migration. Experienced practitioners are more likely to use the correct technique and placement to minimize this risk.

  • Excessive Filler Volume: Using too much filler in a single area can increase the likelihood of migration. The tissue can only hold a certain amount of filler, and exceeding this can cause it to move to adjacent areas.

  • Inadequate Aftercare: Not following post-treatment care instructions, such as avoiding excessive pressure, massaging the area, or intense physical activity immediately after the procedure, can contribute to filler migration.

  • Type of Dermal Filler Used: Some fillers have a higher risk of migration due to their consistency and how they integrate with the surrounding tissues.

  • Anatomical Factors: Individual anatomical differences, such as the density and elasticity of the skin, can affect how well the filler stays in place.

  • Repetitive Procedures: Multiple filler treatments in the same area over a short period can lead to migration due to the cumulative volume and potential weakening of the surrounding tissues.

Can You Fix Migrated Lip Filler?

Yes, migrated lip filler injections can be fixed. The most common solution is the use of hyaluronidase injections, which dissolve the excess filler. Here’s a step-by-step approach to fixing migrated filler:

  1. Consultation: Visit a qualified and experienced injector to assess the extent of the filler migration.

  2. Hyaluronidase Injections: The injector will administer hyaluronidase to dissolve the misplaced filler. This process is usually quick and can show results in a few days.

  3. Healing Period: Allow time for your lips to heal and return to their natural state before considering additional filler. This typically takes about 2 weeks.

  4. Reapplication (if desired): Once healed, you can opt for a new application of filler with a skilled professional who will ensure proper placement and technique.

By choosing a knowledgeable and experienced injector, you can effectively correct migrated filler and achieve the desired natural and balanced look.

Do You Have to Remove All of the Filler?

No, you don’t have to remove all of the existing filler to retreat. However, it's essential to choose a provider skilled in accurately assessing and executing the dissolving process.

During emergencies such as a vascular occlusion, the main objective is to address the issue promptly. Thisrequires completely dissolving the filler that caused the occlusion.

For routine corrections, a targeted approach can preserve the desired look while addressing any problems. Make sure to select a professional who can balance precision and safety to achieve the best results.

Before and After Dissolving Lip Filler

How Long Should I Wait to Refill After Filler is Dissolved?

It's important to wait until the hyaluronidase has fully dissolved all the hyaluronic acid filler and any swelling has gone down. This typically takes about 2 weeks. 

Injecting filler while there is still swelling can lead to uneven and undesired results. Patience is key to ensuring a smooth and successful refill process.

How Much Does It Cost to Have Lip Filler Removed?

At Nash Injections, the cost for a lip filler dissolving treatment is $300. This price includes the consultation and the hyaluronidase injections needed to dissolve the filler. The total cost may change based on how much filler needs to be dissolved and how many sessions are needed.

Investing in a skilled and experienced provider is essential to ensure a safe and effective procedure. At our Nashville Med Spa, our skilled injector uses top techniques and products to get the best results for our clients.

Can You Remove Filler Naturally?

Yes, since hyaluronic acid (H.A.) is a naturally occurring substance in the skin, our bodies can naturally break it down and dissolve it over time. The longevity of lip filler depends on factors such as the type of product used, your lifestyle, and genetics.

While the natural breakdown process can take several months, it offers a gradual and safe way for the filler to diminish without intervention.

Do All Med Spas Offer Filler Dissolving?

Not all medical spas (med spas) offer filler dissolving services. Several factors influence the availability of this service:

  • Type of Filler Used: Hyaluronic acid-based fillers, such as Juvederm and Restylane, can be dissolved using an enzyme called hyaluronidase. If the filler is not hyaluronic acid-based, dissolving it may not be possible or may require different methods.

  • Training and Certification: Only qualified and trained medical professionals should perform filler dissolving procedures. This includes physicians, nurse practitioners, physician assistants, and nurses with specific training in aesthetic procedures.

  • Facility Capabilities: Not all med spas are equipped with the necessary tools and medications to perform filler dissolving procedures. Only med spas that offer dermal filler treatment will have hyaluronidase and other necessary supplies on hand.

  • Expertise: Not all providers offering dermal filler treatments can fix migration or unwanted results with hyaluronidase. Some providers may know how to use hyaluronidase for emergencies, but not for correcting migration or unwanted results.

Make sure the med spa you choose has the proper qualifications, equipment, and expertise to perform filler dissolving safely and effectively.

Will Lip Fillers Damage My Lips?

Many people believe that once lip filler dissolves (naturally or medically), their lips will end up looking worse or smaller than before the treatment. This is a myth! In reality, your lips will return to their pre-filler appearance without any damage or sagging.

Lip Filler in Nashville

To keep your lips looking their best after enhancing them with HA lip filler, regular touch-ups are essential. However, the real secret to flawless lips lies in choosing a highly trained, knowledgeable, and skilled injector who knows how to avoid overfilling.

Every set of lips is unique, so your treatment should be personalized just for you. By selecting the right professional, you can ensure that your lips look naturally full, beautifully balanced, and perfectly suited to your face.

For stunning and natural looking results in Nashville, trust an experienced injector who understands the artistry and precision required for exceptional lip enhancement. Whether you're looking to dissolve your current filler or get lip filler for the first time, book a free consultation with our top injector today.

Author: Hannah Morse, RN, Founder, Nash Injections by Hannah

An Advanced Injector, Hannah has undergone extensive training under the guidance of top injectors in the aesthetic industry and is a certified ZO® Skin Health Specialist and Expert. Her commitment to staying informed about the latest products, techniques, studies, and protocols is a testament to her dedication to providing top-quality care.

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