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AMM 90: Avoiding Filler Migration Tips from Experts Dr. Ibrahim and Dr. Palm

May 27, 2024

In this episode, we delve into the trending topic of filler migration, exploring its causes, risks, and solutions. Join us as we debunk myths, provide expert insights from dermatologists, and emphasize the importance of informed decision-making in aesthetic treatments. Remember, knowledge is power when it comes to your health and beauty.

Quick Takes

  • Filler migration is quite rare, with a reported incidence of just 1%.
  • Increasing number of individuals getting filler treatments leads to more cases of filler migration, even if the risk remains low.
  • Factors that can cause filler migration include incorrect placement, overfilling, using the wrong type of filler, and using non-FDA-approved fillers.

Episode Transcript

Hello and welcome. Today is May 27th, 2024.

Let’s talk about a topic that’s been making waves on TikTok—filler migration. This is when facial filler drifts from where it was initially injected, leading to an appearance that’s lumpy or swollen in unintended areas. It’s important to note, though, that filler migration is quite rare, with a reported incidence of just 1%.

The rise in discussions around filler migration can be attributed to the increasing number of individuals getting filler treatments. Dr. Omer Ibrahim, a board-certified dermatologist in Chicago, points out that more patients simply mean more cases overall, even if the risk remains low.

Filler migration primarily occurs when the filler expands or moves slightly from its targeted area. For example, if you get lip filler, you might notice some fullness around the lips, not just within them. However, filler cannot move far—only a few millimeters at most. It won’t end up moving to your jawline or circulating through your body.

If you notice prolonged swelling or lumps near your injection site, it might not be just temporary inflammation. Dr. Melanie Palm, a dermatologist in San Diego, explains that true filler migration results in abnormal fullness that doesn’t resolve like typical swelling would.

There are a few factors that can cause filler migration. Incorrect placement by the injector, overfilling, or even using the wrong type of filler can all contribute. This reinforces the importance of choosing an experienced injector. They possess the expertise to minimize risks and handle any complications effectively.

Using non-FDA-approved fillers also increases the risk, potentially leading to disfigurement. Some black-market fillers, like acrylamide and silicone, can cause lasting inflammatory reactions.

Lip and under-eye areas are more prone to migration due to constant movement and limited space. The solution? Hyaluronidase, an injectable enzyme that dissolves the filler. A few sessions may be needed, followed by a wash-out period and then, if desired, reapplication of the filler.

Finally, Dr. Ibrahim reminds us of the importance of not overdoing it. It’s easy to fall into a cycle of wanting more, but restraint is key to avoiding complications.

Stay informed and choose your treatments wisely.

That’s all for today. Stay tuned for more insights from the world of aesthetic medicine.

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Aesthetic Medicine Minute

with Dr. Teri Fisher

Daily insights, updates, and strategies for navigating the world of medical aesthetics, all in 1 minute per day.