Filler Migration: What is it and Why is it Trending?

It is easy to understand why dermal fillers rank as the second most popular non-surgical cosmetic procedure (next to botulinum toxin). Apart from being a quick treatment, fillers are also versatile and can treat a range of aging skin concerns. From restoring volume loss to treating wrinkles and contouring facial features, they can give you a youthful appearance and enhance your natural beauty.

While there is no doubt about what dermal filler Singapore treatments can do, the issue of filler migration has become a hot topic on TikTok. This is when filler moves or migrates from the original injection site to another area of the face. But, why does this happen? What does it look like? Is there a way to prevent filler migration? 

Continue reading as we dive a little deeper and answer the most common questions about filler migration. 

What is filler migration?

Filler migration might be trending, but it is important to know that it is very uncommon. It is most likely to happen when the treatment is administered by an unqualified or untrained injector. It does happen though, and as previously mentioned, it occurs when the filler moves from its intended site to a nearby area.

Filler migration can happen anywhere the filler is injected, but it is more common on the lips, cheeks, and tear troughs. Lips are at the highest risk because of their limited or small space to hold the filler. Lips also move constantly with eating, drinking, and speaking throughout the day. 

Why is everyone talking about filler migration?

The topic of filler migration was first brought on by #FillerMigration in TikTok in 2022. The hashtag, which has over 20 million views, showed what happens when lip filler migrates or moves to a neighboring area. It then became a hot topic recently due to Kylie Jenner’s appearance at Paris Fashion Week earlier this year. 

People were quick to notice Kylie’s face, which according to many, may have been dealing with filler migration or too much botulinum toxin. Some have claimed that filler aged her face, which then sparked a conversation about the aging effects of fillers and filler migration. 

Why does filler migrate?

A number of factors can contribute to filler migration, such as:

• Overfilling or too much filler – A conservative approach is usually recommended for natural-looking results. In the case of lip fillers, injecting too much more than what the area can hold can cause the material to spread into neighboring areas. This can lead to the appearance of “duck lips” or a “filler mustache”.
• Getting filler treatments often – Although maintenance treatments are recommended to maintain the results of filler, getting filler too often can lead to overtreating the face or the area being filled quickly. Experienced injectors know when to schedule or space out your treatments to avoid overfilling.
• Using the wrong type of filler – There is a reason why there are different types of dermal fillers. Qualified and experienced injectors know which type suits a specific area of the face. Using the wrong one increases the likelihood of migration and other serious complications.
• Too much handling – Aggressive massaging or too much manipulation of the area post-injection can increase the likelihood of migration. It is best to avoid pressure (from massage, facial tools, or touching your skin) to reduce swelling and migration. And with lip fillers, it is recommended to avoid using straws 24 to 48 hours after your injection.
• Wrong injection site – Filler migration and other complications are more likely if the filler is placed in the wrong layer of the skin. This is why filler treatments are best left to professionals who have a good knowledge and understanding of facial anatomy.

What are the signs of filler migration?

You may be able to notice if your filler has migrated. Some of the signs to look out for include:

• Unevenness – or asymmetry compared to how the fillers look immediately after the procedure.
• Texture changes – can be due to the filler material appearing in areas where it wasn’t originally injected.
• Persistent lumps – or raised skin and visible bumps can occur around the site of injection.
• Puffiness – is common in thin-skinned areas of the face like under the eyes or above the upper lip (a ducky lip appearance or a filler mustache).
• Lack or loss of definition – or changes in lip shape can happen with filler migration. You may also notice distortion in your lips or the area losing its original contour.
• Stiffness – in the lips can lead to a stuffed or rubbery appearance.
• Unusual discomfort – or sensitivity may indicate filler migration.

Does filler migration resolve on its own?

Yes, it does but it takes time and can depend on the type of dermal filler used. Without any treatment or medical intervention, it could take about six to 18 months. Your body will eventually break down and reabsorb the filler, so the area will look like what it was once before the injection.

The good news is there is a quicker solution if you don’t want to wait. This, however, is only available with hyaluronic acid fillers, which are the most common type of fillers. This is done by injecting an enzyme called hyaluronidase, which dissolves the fillers. This can help resolve the issue or be used in combination with other medical interventions or specialized treatments.

For further reading: Why People are Dissolving and Refilling Dermal Fillers

Can you prevent filler migration?

One of the best ways to prevent filler migration is to go to a board-certified aesthetic doctor, plastic surgeon, or dermatologist to administer the treatment. Qualified and experienced injectors understand facial anatomy and know which type of filler is best suited for an area. Other things that can help include:

• Have the treatment done by an experienced injector in a clinical setting.
• Follow the post-treatment instructions from your doctors.
• Do not massage or apply excessive pressure on the treated area immediately post-injection.
• Do not make exaggerated facial expressions or movements.
• Avoid going to the gym or doing strenuous exercise on the day of your treatment

For further reading: 10 Questions to Ask Before Getting Dermal Fillers

Why choose Cutis for your injectable treatments?

Our medical and scientific director, Dr. Sylvia Ramirez, is a US Board-Certified doctor with years of experience and training in administering cosmetic injectables. She has also done several studies and delivered talks on important and pressing topics about popular brands of botulinum toxin and dermal fillers.  

Other reasons to choose us include: 

• Board-certified doctors and experienced injectors
• Authentic injectable products
• Treatments in a clinical setting
• Patient-based approach and personalized treatments
• Transparent pricing
• A wide range of injectable treatments and other non-surgical anti-aging procedures

To learn more about our dermal filler Singapore treatments and other facial rejuvenation procedures, don’t hesitate to reach out to us. Contact Cutis today and schedule a consultation with one of our aesthetic doctors.

Sources: 

https://www.instyle.com/filler-migration-7498844

https://www.allure.com/story/facial-filler-migration

https://www.shape.com/lifestyle/beauty-style/lip-filler-migration