Will Face Massage Affect Filler? Experts Sound Off - Who What Wear

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Injection needle



(Image credit: Stocksy)


Scroll through Instagram or TikTok, and I guarantee that you come across at least one video detailing how to do an at-home face massage for fresher, brighter, and more sculpted-looking skin. Advocates often share some pretty epic before-and-after photos to prove that face massage improved their appearance. And while I can't personally confirm the validity of the thousands of posts on social media, skin experts say there are real benefits to face massage, including lymphatic drainage and increased circulation.

Personally, I do a five-minute face massage each morning to reduce puffiness and refresh my dull, tired-looking skin. However, lately, I'm wondering if I can stay committed to this little ritual. You see, I'm entering the last year of my 20s, and I've started to see signs of aging appear. Yep, that means I'm officially considering getting small amounts of Botox and filler to course-correct. And after doing some research, I've seen conflicting advice on whether or not to continue face massage post-injection. Some people say it's fine; others say it will cause the filler to dissolve or even migrate. So, what's the truth? I reached out to three skin experts to find out once and for all.



Woman doing an at-home face massage



(Image credit: Stocksy)

First, What's the Difference Between Botox and Filler?​


Anetta Reszko M.D., Ph.D., is a Dermatologist and Dermatologic Surgeon. "Fillers are injectable substances made usually with hyaluronic acid or calcium hydroxylapatite," she says. "They are primarily designed to add volume and contour the face, particularly as we continue to lose our ever-so-valuable subcutaneous fat with age." While many people conflate filler with Botox, it's important to know that they're two different things—not only do they work differently, but they target different aesthetic concerns.

Dr. Jimmy C. Sung, M.D., is a board-certified plastic & reconstructive surgeon and Medical Director of Tribeca Aesthetics in New York City. He says the difference between fillers and Botox comes down to whether you want to "add" to or "subtract" from your appearance. "Fillers are products that increase volume," he says. "On the other hand, while fillers are used to 'add,' neurotoxin such as Botox is used to 'subtract' motions and volume. Neurotoxin paralyzes the muscles. Its primary use in aesthetic medicine is to address dynamic wrinkles by decreasing muscle movement. Interestingly, neurotoxins are now being used to reduce volume. When a muscle is paralyzed, it will decrease in size due to lack of use. Neurotoxins can be used to reduce volumes, such as the masseter muscles to improve jawline or slimming down the shoulders -popularly known as 'Barbie Botox.'"

He says filler can generally be divided into two types—semi-permanent and non-permanent. Semi-permanent filler works as a stimulant to induce collagen synthesis. Non-permanent filler, on the other hand, is made from hyaluronic acid (HA) and is dissolvable with enzymes. Choosing the right one for you comes down to your specific goals and concerns. But for Reszko, hyaluronic acid (or non-permanent) filler is the way to go. "They are able to more naturally infuse with our own tissue and the hyaluronic acid we biologically produce," she says. "HA-based fillers also have an edge in that they are dissolvable, while calcium-based fillers cannot be dissolved.



Woman using a gua sha



(Image credit: Stocksy)

In What Areas Is Filler Commonly Injected?​


Sung says there are "danger zones" around the face that providers should avoid while injecting filler. "The main concern is causing blockage of the vessels, which can lead to skin loss or even blindness," he says.

Reszko agrees, although, she notes that risks are majorly reduced by going to an experienced provider. "At the end of the day, filler can truly be placed anywhere. The most important factor is having a skilled injector who is aware of the underlying facial anatomy, as injecting filler into vessels in the face can be very dangerous. Filler can be placed in the cheeks to lift and add contour, to the temples to round out the face, to the jawline to sharpen the angle, and tend to jowls. It can be added to the lips to augment and shape, to the forehead to lift the brows, to the nasolabial folds to smooth the smile line, and in any single place on the face to smooth imperfections. In the neck, it can be used to smooth wrinkles and any other unwanted divots."


Purvisha Patel M.D. is a Double Board-Certified Dermatologist and Founder and CEO of Visha Skincare. She agrees that fillers are best placed in areas that lose volume over time, "such as the temples, tear troughs, smile lines, and lips. Injectors should avoid areas of high vascularization where there is risk of embolization of the filler."

How Long Does Filler Usually Last?​


"The duration of filler varies depending on the type of filler used, the area treated, individual factors like metabolism and lifestyle, and the amount injected," Reszko says. "Individuals who are very active tend to work through filler more quickly. This is multifaceted, as in part it is due to the fact that they have a higher resting metabolism, but also is related to the tension that is often held in the face during physical exertion. Filler is worked out of our systems more quickly with a lot of muscle activity in the region. You can expect filler in the chin, for example, where little to no muscle movement occurs, to last up to a couple of years following injections. Alternatively, an area such as the lips, where movement constantly occurs, lasts more along the lines of 9-12 months"

If you're going with HA filler, Reszko says there's another factor to consider. "Specific regions of the face carry different concentrations of hyaluronidase (the natural enzyme that breaks down HA)," she says. "For example, the under-eye region carries very low concentration of this enzyme, while the lower face and jawline carry high concentrations. Therefore, filler will last longer in the under-eye region as compared to the jawline. On average, hyaluronic acid fillers typically last 6 to 18 months, while semi-permanent fillers like Radiesse may last up to 12 to 18 months. Collagen stimulators like Sculptra can last even longer, with results potentially lasting two years or more."



Super Moisturizer



Environ

Super Moisturizer

What Is the Proper Aftercare for Filler?​


Getting filler is relatively quick and easy, but it requires proper post-injection care to make sure you (and your new look) are safe. "The main concerns are swelling and bruising," Sung says. "Therefore, it is a good idea to avoid alcohol, sauna, and rigorous exercise for 24-48 hours [post-filler]."

Patel seconds this, saying, "It is best not to sleep or put pressure on the area that got filler." For example, if you get cheek filler, and you're a side sleeper, make sure to sleep on your back until the filler has settled.

As for Reszko, she says light pressure (such as putting on makeup or washing the face) is fine, but avoid firm pressure for approximately four hours after injection. This will ensure the placement of the filler isn't altered. "If the filler was injected around the mouth or in the lips, patients should avoid moving the area excessively or using a straw," she adds. "Following filler injection, the skin may feel a bit dry to due alcohol and aluminum chloride used during injections to stop bleeding at puncture sites. Hydrate the skin well during the day of injections with a moisturizer such as Environ Super Moisturizer ($62) or Environ Colostrum Gel ($68). Swelling is a normal occurrence after injections and can be treated at home with a light lymphatic drainage facial massage."



Woman massaging her face



(Image credit: Stocksy)

Will Face Massage Eff Up Filler?​


Now, for my most burning question, will face massage cause filler to migrate or dissolve? Now, you might have caught Reszko's passing mention of face massage as a way to manage swelling...is there more to the story?

For Sung, face massage could, in theory, cause filler to dissolve quicker, but that's in theory. "Theoretically, any method of increasing metabolism and movement to an area will increase absorption," Sung says. "However, the most reliable method of dissolving hyaluronic acid is using dissolving enzymes." In other words, without dissolving enzymes in the picture, face massage won't necessarily or definitively affect filler.

As for Reszko, she says face massage won't affect filler, as long as you avoid it for the first four hours after injection. "It takes about 4 hours for filler to settle into the tissue to where it cannot be further molded in the skin, and after two weeks is entirely incorporated into your own tissue," she says. "Massages will have no effect on the longevity of filler duration. It does not increase the metabolism of the substance in any way. Not only will it not interfere with the placement of the filler, but it is recommended in the weeks following filler injection to do light lymphatic drainage massages in the treated areas to decrease expected swelling. You can apply light pressure using your hand or an at-home facial device with microcurrent technology going from the medial to the lateral face. In general, following an up-and-out sweeping motion for best efficacy in drainage. It is best to pair lymphatic drainage with a facial oil so as to not pull on the skin."

There you have it. Face massages won't necessarily affect filler placement or longevity, which means I can continue to practice them each morning. Ugh, I love getting answers to my most burning beauty questions. Until I decide whether or not to go through with filler for the first time, I'm stocking up on the best complexion-boosting skincare products.

10 of My Favorite Skincare Products to Use While Contemplating Filler​



Collagen Booster Firming Peptide Serum



The INKEY List

Collagen Booster Firming Peptide Serum


I love using firming peptides in my skincare routine.



Resveratrol Lift Instant Firming Retinol Alternative Serum



Caudalie

Resveratrol Lift Instant Firming Retinol Alternative Serum


This is a retinol alternative I trust.



Obagi Medical Retinol 1.0 (1 Oz.)



Obagi Medical

Obagi Medical Retinol 1.0


Or, if you prefer true retinol, I recommend this one.



Bouncy + Firm Radiance Boosting Sleeping Mask



LANEIGE

Bouncy + Firm Radiance Boosting Sleeping Mask


An overnight mask that makes your skin bouncy by morning.



Daily Uv Defense Invisible Broad Spectrum SPF 36 Sunscreen



innisfree

Daily Uv Defense Invisible Broad Spectrum SPF 36 Sunscreen


This sunscreen leaves virtually no white cast.



100% Organic Cold-Pressed Rose Hip Seed Oil



The Ordinary

100% Organic Cold-Pressed Rose Hip Seed Oil


One of my favorite face oils to use for an at-home face massage.



Super Bounce Hyaluronic Acid + Vitamin B5 Hydrating Face Serum



Glossier

Super Bounce Hyaluronic Acid + Vitamin B5 Hydrating Face Serum


This Glossier serum is one of my favorites.



Peptides Antioxidants Firming Daily Treatment



Allies of Skin

Peptides Antioxidants Firming Daily Treatment


This is one of my favorite vitamin C products of all time.



SkinMedica, Neck Correct Cream



SkinMedica

Neck Correct Cream


A neck-firming cream is essential.



Deeply Replenishing Squalane Facial Oil



Keys Soulcare

Deeply Replenishing Squalane Facial Oil


Another moisturizing oil to use for an at-home face massage.


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    Thursday at ❤️💙 💜⎝𝗦𝗨𝗚𝗔𝗥 𝗟𝗢𝗩𝗘 𝗦𝗣𝗔⎠💖💗💘: LUNA, SARA & TIFFANY. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON ☎ 𝟰𝟯𝟳-𝟯𝟲𝟱-𝟮𝟲𝟴𝟴 ☎ LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. SARA is a beautiful Thai lady with C Cups, 160 Cms and 50 Kgs, with a full set of services to delight you. TIFFANY is amazing slim
  37. bnwellness_wilson:
    We have 4 young beautiful girls are working today, young sweet Taiwanese student Victoria 25’s slime and young fun Ivy 36DD with big buttocks open mind, young cute sexy Tina with curve body open mind and pretty GFE Ella are providing deep tissue and sensual massage, pls call 4163985777 book appointment and walk in always welcome, back entrance and parking available, 350 Wilson Ave North York
  38. luckywellness:
    Lucky Wellness Center 4379721888 295 Eglinton Ave E,Unit 7,Mississauga Kiki and Suki work
  39. Soul Relax Spa:
    ✨ Looking for a relaxing escape? ✅ Click Here Meet🌸Luna🌸Valentina🌸KellyCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now ☎ 289 - 298 - 5662☎️ Your ultimate relaxation awaits! ✨
  40. Lulu1980:
    Phoenix Blossom Spa 🌹🌹🌹3 girls 🔥🔥🔥5124 Dundas St W Etobicoke☎️416-817-3366👍 Sexy girl Mia big boobs 36DD 😘😘😘😘Hot and sexy body, super body slide, very provocative service😘😘😘, professional super Luna deep tissue massage, has therapeutic effect to loosen bones and relieve muscle pressure and will bring you unexpected service effects, she will bring you a little surprise😍😍😍😍❤️You are welcome to make an appointment at any time or walk in the back door with plenty of parking spaces
  41. EMSpa_schedule:
    Tomorrow's sneak peek: On Thursday March 13, 2025, our attendants will be Ada 🤗, Cici 😘, Mia 😍, Vicky 🔥 and Sophie 🥰 Have a good evening! Call 905-479-6668 to book!
  42. Endless Joy Spa:
    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇10am-2am, Slim Petite Chinese Vivi & Young Slim Sexy Chinese Faye
  43. Shangri-la Spa:
    💆‍♀💖WooHoo Wed💖 Ultimate destination for Asian massages🎉 Two fab spots: Richmond Hill & Oakville✨ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea — 🆕Jenny, Cindy, Coco, Echo, Amber, JPN Yui, Tina, Akino, Lucy & Doris— ready to pamper you🎁🍁 Ring us 📞647-695-6354 or text us 📱647-578-8169✨ 160 East Beaver Cr., Unit 12, RichmondHill 💰Where Eastern charm meets Western comfort - your bliss awaits🙌
  44. Suko 5Girls:
    Suko Spa schdule today on Wednesday is with 7 lovely💓ladies💓Gigi (new), Kim (new), Crystal, Jojo, Lucky, Michelle and Sunny 🛣 420 ValleymedeDr, Richmond Hill, same plaza McDonalds 📞☎ 905-597-8880 ☎
  45. Endless Joy Spa:
    ✨✨✨✨✨[GRAND OPENING]✨✨✨✨✨ 💞Endless Joy Spa💞 🎇 (155 East Beaver Creek Rd Unit #8, Richmond Hill) 416-731-8565🎇10am-2am, Slim Petite Chinese Vivi & Young Slim Sexy Chinese Faye
  46. Alibi Massage and Spa:
    💎 NOW AT ALIBI – INDULGE IN THE ULTIMATE ESCAPE 💎 🔥 A VIP experience like no other 🔥 💃 Sensual, stunning, and ready to take you beyond relaxation 💋 ✨ Where your fantasies meet our touch…
  47. Jenny’s Spa:
    🎉🍒JENNY’S SPA🎉🍒 ✅5170 DUNDAS STREET WEST✅ 👌ETOBICOKE ONTARIO M9A 1C4👌 ☎️( 647-893-5196)☎️Call or Text ☎️( 437-888-3759)☎️Call Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY 🔥✅GRAND OPENING💯NEW GIRLS EVERYDAY🔥EXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNY’S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS🔥💯😘🔥❤️👌 🔥TWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY🔥 💯REAL PICTURES OF ATTENDANTS💯 🔥TODAY’s ROSTER INCLUDES: Coco😘- A young cute blonde Asian girl mak
  48. wonderspa:
    . 🌺🌺Wonder spa,(9421Jane st unit127)call416-5000-800☎️best massage in vaughan,Tuesday Wednesday Thursday RMT available,💄sexy very young girl Joey natural c cup,very good looking nice body slide😻 🍎long hair Lucy come back,very good strong to relax oil massage, Relieve pain and remove stress,more experience 🍎new girl Cici beautiful face amazing massage sensuality touch,give you warm and comfortable time🔥must try😘
  49. Annie Spa:
    🎉🍒ANNIE SPA🎉🍒 ✅7-1001 SANDHURST CIRCLE✅ 👌SCARBOROUGH ON M1V 1Z6👌 ☎️ (647) 891-9688☎️ ☎️ (416) 291-8879☎️ (FINCH & MCCOWAN) OPEN 9:30am to 9pm MONDAY to SUNDAY 🔥✅NEW MANAGEMENT💯NEW GIRLS🔥🔥 🔥GORGEOUS NEW YOUNG ASIAN GIRLS - TODAY’s ROSTER INCLUDES: 🔥 Feifei😘Our new Taiwanese beauty Feifei specializes in creating an intimate and deeply relaxing massage experience tailored to your desires. Her soft, skilled hands glide effortlessly, easing tension and awakening your
  50. Soul Relax Spa:
    ✨ Looking for a relaxing escape? ✅ Click Here Meet🌸Aletta🌸Tina🌸TaniaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now ☎ 289 - 298 - 5662☎️ Your ultimate relaxation awaits! ✨
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