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Lip Filler Migration, Removal & Surgery Filler migration happens when lip filler moves into the tissue above the lips over time. This often occurs when too much filler is used or when the natural muscle movement of the lips pushes the product upward. Think of lips like a glass, they can only hold so much before it spills over. The size and shape of your lips determine how much filler they can handle safely. Since lips are made of muscle and constantly move, this pressure can cause filler to shift into unintended areas. Whether filler migration needs correction depends on each individual case. Not every patient has to remove their filler before considering surgery. The right approach depends on your anatomy, age, and aesthetic goals. In some cases, a small amount of filler can even help refine the final look. Generally, filler should be at least six months old before any surgical procedure to reduce the risk of further migration. The key is finding a surgeon who understands when to remove filler and when it can safely enhance your results.