Everything you always wanted to know about Filler Migration but were too afraid to ask

Everything you always wanted to know about Filler Migration but were too afraid to ask

Cosmetic filler enhancements are like the VIP treatment of the beauty world, right? And guess what's also making waves lately? Cosmetic filler dissolving procedures – the ultimate undo button, giving you a chance to reset the clock on those enhancements, pun totally intended.

But hey, there's a beauty journey hiccup in town, and it goes by the name of filler migration. It's like the unexpected plot twist we didn't see coming. Even if you're acing product selection, nailing the right dosage, and planning touch-ups like a pro, there's still this wild card called filler migration.

We're diving deep into this because, let's face it, whether you're injecting or dissolving, downtime is inevitable. Fear not, Viktor Michael has your back, offering a secret weapon to tackle downtime head-on.

Now, here's the real treat – we snagged a chat with Dr. Andrade, Plastic and Reconstructive Surgeon and Founder of Beautique Concierge, to delve into the world of filler migration.  We discussed the nitty-gritty - how it happens, tips on avoiding it, and steps to take if you find yourself dealing with it. Read on for expert insights on navigating the path to flawless filler experience! 

Dr. Andrade, in your expert opinion, what factors contribute to cosmetic filler migration?

The biggest factor that contributes to filler migration is the technique and the amount of filler injected. Too much filler at once is often the culprit for filler migration. As always in my practice - with filler, less is more!  Rarely, massaging or manipulating the skin after injections can cause some migration as well. I always encourage light massages to the lips after injections however massing too aggressively may cause some migration of the filler. The key to success here is gentle massages along the axis of the lips and never in an up and down manner. 

Would you agree that certain types of fillers are more prone to migration, if so, can you please explain why?

When we talk about filler migration, we are mostly discussing hyaluronic acid (HA)  based fillers. Not all HA fillers are created equal. The less dense fillers are more often implicated in migration since they can easily sneak into unwanted areas. The key is to find a provider who not only knows all the injection techniques, but one who can pick the appropriate filler for the desired area. 

Can you please share, what signs indicate that cosmetic fillers might be migrating?  

Swelling or fullness in unwanted areas at least 2 weeks after injection is a good sign that fillers have migrated. 

Navigating Touch-Ups is a difficult task: when and how would you recommend addressing filler migration?

Typically I tell patients to come back for touch ups around the 2 week period. At this time filler migration can also be assessed for treatment with filler dissolving medication. 

Debunking the Myths associated with Filler Migration and your final thoughts on this subject:

A concern of mine is when I see patients with filler migration, they often want more filler to correct the asymmetry. More filler is usually not the answer in these. Often, it's better to dissolve the filler and start over.  

Unwanted results from hyaluronic acids fillers can be undone with filler dissolving medications. I wait at least 2 weeks after the filler dissolving medication has been placed before I put in additional filler.


Dr. Andrade completed his undergraduate degree at The Citadel, studying biology, biochemistry, and molecular genetics. He went on to receive his medical degree from Nova Southeastern University and completed his general surgery residency at NYU Brooklyn, earning the Award of Surgical Excellence. He then completed his plastic and reconstructive surgery residency at Michigan State University/Detroit Medical Center, followed by a second fellowship in oncoplastic microsurgical breast reconstruction at Hackensack University Medical Center in NJ. Dr. Andrade specializes in breast reconstruction and cosmetic surgery of the face and body, as well as non-surgical cosmetic rejuvenation. He has published several peer reviewed articles andtextbook chapters. Dr. Andrade is from Fort Lauderdale, FL. He currently lives in Manhattan, NY, with private practice locations in Brooklyn, Jersey City, and Staten Island. He enjoys playing guitar, surfing, soccer, traveling, and live music. He's fluent in English and Spanish.

Beautique Concierge – Your Home. Your Time. Our Expertise
Beautique Concierge is an aesthetics and wellness brand that offers the luxury and convenience of in-home services and treatments. Founded by Dr. Peter Andrade, a plastic surgeon, and Dr. Fidel Garcia, infusion drip specialist, Beautique aims to elevate the treatment experience by eliminating the need to ever leave your home. They offer a range of injectables services, IV treatments, weight loss management, hormone replacement therapy, and more.