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CATEGORY 50 AUSTRALASIAN DENTIST CLINICAL Filler Migration: Tips to avoid it Dr Giulia D’Anna By Dr Giulia D’Anna, BDSc, MRACDS, FIADFE, Grad. Dip. Derm. Ther Cert IV TAE, Grad. Cert laser, Email: giulia@dermaldistinction.com.au In today’s world, it’s no surprise that more and more people are opting for cosmetic enhancements without facing any judgment. In fact, 2023 has seen a surge in openly chosen procedures to enhance appearances, leading to a broader array of minimally and non-invasive treatments. We will see what 2024 will bring, as there is so much change in the cosmetic dental and aesthetic skin industry right now. Complications Among the popular choices is the trend of getting lip fillers, a non-surgical cosmetic procedure that works wonders in restoring volume and proportion, resulting in a more youthful look. However, it’s important to note that in the hands of under-trained practitioners, lip filler injections might not always provide the desired results. Sometimes, the fillers can move or spread to different areas of the lips, which, while not harmful, isn’t the outcome people are looking for after investing in lip fillers. Wondering if there’s anything you can do to avoid or rectify such a situation? Dive into the details in the article below! Understanding lip filler migration Lip fillers, the dermal fillers responsible for plumper lips and a visible pout, can occasionally “migrate” to areas different from the original injection site. Some practitioners also call filler Migration, filler Redistribution – which is true to what is actually happening. Why does it happen? Selecting a well-trained injector who employs the correct techniques is the first step in minimizing filler migration. Excessive filler can lead to “bleeding” to other facial areas, typically the white part of the upper lip. It’s crucial to trust your injector’s judgment regarding the amount of filler needed. Overfilling a particular area may prompt your body to naturally readjust to ease tension. Getting too much filler too frequently can also contribute to migration. While maintaining treatments is essential for optimal results, injections should be scheduled appropriately and spaced over a reasonable amount of time. Additionally, touching or massaging the injected areas post-treatment can cause the filler to move and is also unhygienic due to the small wounds created during the injection. Identifying lip filler movement Mild swelling immediately after injection is normal, making it unlikely for lip filler to move within a couple of hours. Migrated fillers become more noticeable in the months following the injections. Unnatural fullness, a mound or bump above the lip border, “duck lips,” lumps along the lip borders, and changes in lip texture are signs that the filler may have moved. Fixing filler migration If you suspect filler migration or a botched procedure, seek assistance from a highly-trained professional promptly, especially if you experience discomfort, intense pain, discoloration, swelling, or blisters on your lips. In some cases, the body naturally breaks down hyaluronic acid dermal fillers over time. However, if waiting isn’t an option, a professional can use hyaluronidase to dissolve the filler, accelerating the body’s dissolving process. Expect some injection-related reactions if you choose hyaluronidase treatment, such as redness, swelling, or bruising. If these persist, consult your healthcare practitioner for a comprehensive treatment plan. Poor shaped lips with migration WWW.PROFDENT.COM.AU #SUPPORTAUSTRALIAN INFECTION CONTROL? WE HAVE YOU COVERED NEUTRADET & ISOPOL

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