Yes, you should keep the treatment for the best results, but each injection should be properly scheduled and spaced out for an appropriate amount of time. Finally, touching or “massaging” areas of the face after the injection may cause the product to move. The dermal filler usually doesn't move after treatment. Immediately after the procedure, our doctors suggest gently massaging the injected areas to ensure proper product distribution and minimize the risk of lumps.
It usually takes about two weeks for the filler to settle and integrate into the surrounding tissue. To maintain the desired results and prevent filler migration, we recommend following our aftercare instructions. Horn is quick to point out that the migration of fillings is “rarer than the media and social media have described,” especially when performed by a board-certified plastic surgeon or dermatologist. Dra. Sherber agrees and adds that migration occurs a little more frequently with fillers from previous generations, which have a “slippery texture”, in his words.
Although individual aesthetic preferences may influence the injection process and the desired final appearance, the “more is more is more” approach, clinically speaking, simply cannot be used with the filler to obtain the best results. The skilled hands of a qualified injector can analyze facial anatomy and avoid the difficulties that come with migrating the filler. If you choose to dissolve it with hyaluronidase, you must ensure that your problem is the migration of the filler or, otherwise, it will dissolve the body's natural hyaluronic acid. This natural process allows for a gradual and beautiful blending of the filler with your own characteristics, so you don't need too much filler.
The consensus of these experts is that the technique and aftercare are the best protectors against filler migration. Likewise, tight-fitting goggles that press against freshly filled skin can leave pressure marks and potentially cause filler migration. The world of post-treatment activities is full of recommendations that are as important as own treatment. You may also need several treatment sessions for the area to return to normal appearance, and you'll have to wait for the area to heal completely before considering increasing volume again with fillers.
Filler migration is another unwanted scenario that can occur, but it's important to keep in mind that, in the hands of an experienced professional, the chances of either happening are very slim. While firmer fillers create structure, softer and more flexible fillers penetrate areas of movement and fully integrate and move with expressions. Hyaluronidase is the light at the end of the tunnel for those who want to reverse the effects of filler migration, return to the original canvas and start over if they want to continue through the filling path. As for concerns about the movement of dermal filler during sleep, rest assured that the filler doesn't move while you sleep.
An inexperienced professional can unknowingly prepare the ground for fillers to be diverted, while an experienced injector can precisely place each drop of filler at the injection site and hold it in place. The lips, those curved expression symbols and the delicate areas under the eyes are the most prone to a noticeable migration of the filler. However, not all hyaluronic acid fillers are created the same way; like snowflakes, they vary in particle size and in the complexity of their cross-linking, and each one is designed for a specific purpose on the face. These are not the usual short-term inflammations seen after treatment and may be a sign of filler migration.
