It's the filler (the injector), not the filler (the product)

Technique is critical when injecting fillers.  The injection of the product should stop about 1 mm before the needle is removed, otherwise product will be injected too superficially as the needle is withdrawn, creating those little bumps. 

Any bumps that are present during the injection session should be massaged out before you leave. Fortunately, over the first day or two, the product absorbs some water from under the skin, and the bumps resolve.  

Remember, it's the filler, not the filler.  Good luck with your next treatment.

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Injecting filling agents such as Juvederm or Restylane is very much technique- and physician-dependent. In other words, the doctor must know what he or she is doing, and many do not.

When you inject Juvederm, if it is too deep, it is absorbed by underlying tissues and does not specifically fill the wrinkle. But if you inject too superficially or too close to the surface, you can end up with lumps. Generally, these will go away within a week, but for persistent lumps, you may need to undergo additional injections with an enzyme named hyaluronidase to dissolve the filler material.

Choose your injecting doctor carefully. Make sure he or she is board certified in dermatology, plastic and reconstructive surgery, head and neck surgery or oculoplastic surgery.

Juvederm is composed of cross linked hyaluronic acid. It is injected subdermally with minimal complications. A small spot post Juvederm can represent product that is superficially placed or it can represent minor injection site trauma with the needle.

In any case, it seems as though the problem is transient as you have returned to having Juvederm performed.

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