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How to Correct Lip Filler Migration and Refill the Lips Safely

Lip filler migration is a common problem that many patients face after getting lip injections. This occurs when the filler moves beyond the vermillion border and gives the appearance of a “filler mustache.” There are several reasons why filler migration can happen, but the good news is that it can be corrected with the help of hyaluronidase. In this article, we will discuss how to correct lip filler migration and safely refill the lips.

Correcting Lip Filler Migration

  1. Dissolving the old filler
  • Hyaluronidase is the most effective way to dissolve old filler
  • Waiting 4 weeks after the final dissolving session is recommended before replacing filler
  1. Don’t try to add more filler in a case of migration
  • Attempting to place additional filler will only exacerbate the situation
  • The risk of replacing filler sooner is that it will migrate through the open channels and lead to the same problem

Refilling the Lips Safely

  1. Consider product selection
  • If the patient has had the same product repeatedly injected over the years, switching to a different product may be a good idea
  1. Technique matters
  • Placing product in vertical struts can increase the risk of migration
  • For patients who have had migration with a previous right-angle technique, this technique should be avoided upon refilling the lips
  1. Quantity and timeline are important
  • Too much filler placed in one visit or filler visits booked too closely together can increase the risk of migration
  • Slow and steady wins the race – take your time and go slow to avoid overfilling the lips

Correcting Filler Migration and Refill Safely

Correcting lip filler migration and refilling the lips safely requires careful consideration of product selection, technique, quantity, and timeline. With the right approach and the help of hyaluronidase, patients can achieve beautiful and natural-looking results that they can be proud of.

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My instructor was very much hands-on which was a huge benefit. She answered questions, offered suggestions, and made me feel comfortable injecting my very first model with BoNTA and dermal fillers.

Barbara Calhoun, FNP

I have taken three courses and have been thoroughly pleased with all of them.  The basic and advanced Botulinum Toxin Type A/ Filler course I attended with Jill not only gave me all of the basics I needed to build a successful injectable practice, but gave me the confidence that I would have a support system in the rare event that I had an additional question after the training course.  The sclerotherapy course with Terri Harper was also very beneficial.  In the two years I have been practicing sclero in my practice I have had to contact Terri two times with a question and she has answered within a matter of minutes and offered additional help in the case of further issues.  I could not be happier with the training and follow up support  I receive with AAI and the talented staff I have met along the way.  I would highly recommend these classes and this fantastic group of professionals to anyone.

CHRISSY THOMAS, RN

I was fortunate to have the opportunity to attend both a Botulinum Toxin Type A training course and an actual “day in the office” with Jill Jones, RN,CPSN at the Atlanta Training Center. This was an invaluable learning experience and helped me to become a more confident Botulinum Toxin Type A injector and ultimately, grow my cosmetic practice. AAI instructors keep abreast of all the latest techniques and cover both the basics and advanced information on Botulinum Toxin Type A in their course, which would benefit both new and experienced injectors. I would highly recommend attending aesthetic instructional course as well as shadowing at the Atlanta Training Center.they are truly cosmetic artists!

AMANDA BRYANT, PA-C