LAM FACIAL PLASTICS

I heard more than once (although can't tell how trustworthy those sources are) that certain people experience the migration of their filler, so it ends ups somewhere where it was not supposed to go.

Does that happen often?

If so, does that happen with specific types of fillers? (permanent? semi permanent? never with temporary ones?)

And what is what causes, IF it happens, the filler to migrate?

When one is injected with any filler, for how long must the person not rub the area or what measures must be taken or avoided to impede or prevent that migration from happening? (in case it really happens)!

In my hands, migration is so uncommon that I can think of no one ever having it. Is it theoretically possible? Yes. I can still massage an area with restylane type product even a few weeks after but not very well so it still could "migrate" shift with a lot of pressure in certain circumstances. I really would say after a week or so that things are pretty stable. If a filler "migrates" and it is an HA product, I can dissolve it and re-inject it. If it is some other product, you have to sweat it out.

Hi Dr. Lam,
may I ask what you use to dissolve H.A. Filler with please? I have read that Hyaluronidase can dissolve surrounding tissue also?
Kind regards,
JoniLea

yes, that is what i use, and yes that is what happens. however, your natural collagen regrows over a period of a few weeks to months. that is why i am very selective in those whom i dissolve and i am very targeted in applying just a little bit to do the job without over-dissolving surrounding areas.
best,
sml