Horribly Lumpy Lips from Juvederm. Had Hyaluronidase Injection-looks Even Worse. Could They Be Permanently Ruined?

asked 10 months ago by simpson_1234 in San Diego, ca
Latest answer by Francis R. Palmer, III, MD
Question viewed 898 times
Tags: lips, lumps, normal, risk

I am 19, had Juvederm twice before in lips with perfect results. Went somewhere new this time had 1.5 syringes. Lips were uneven, lumpy, HORRIBLE. Went in today and had hyaluronidase injected (something I'd never heard of) they look even more weird and bumpy now. I know it takes time but what are the risks? Now I have found out it can ruin the natural tissue. I am terrified and fear that I have permanently ruined my face. I was given NO consent form listing risks. Is that normal? Can i sue?

7 answers to Horribly Lumpy Lips from Juvederm. Had Hyaluronidase Injection-looks Even Worse. Could They Be Permanently Ruined?

Lips lumpy after Juvederm lip augmentation

No, it would be very unlikely that any permanent change would occur, to your lips, after Juvederm Lip augmentation even if hyaluronidase was later injected to dissolve some of the Juvederm. The hyaluronidase just wasn't able to dissolve all of the Juvederm or do it evenly which is why, IMHO, if at all possible I'd suggest leaving the temporary fillers alone until they dissolve on their own.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Hyaluronidase takes time to correct lumps

Give it a few days, sometimes a second hyaluronidase treatment is needed to break down all of the injected hyaluronic acid (the stuff Juvederm is made of). I have had to use hyaluronidase many times for unpleasant filler outcomes, usually done by inexperienced injectors. All have resolved very nicely. I have not seen any permanent damage. Actually, even if you do nothing the Juvederm will slowly go away, of course you have to live with the lumps for months so I think... more

Susan Van Dyke, MD
Paradise Valley Dermatologist

Hyaluronidase for juvederm removal.

Hyaluronisase really works so you simply did not have enough. You describe spotty removal which would be worse of course. You simply need the juvederm cleared out tnen wait 2 months and reconsider. Juvederm really is great so its unfortunate you have had a bad experience. Go back, get a lot more hyaluronidase. It cannot hurt you. I have been amazed at the quick and total clean out when used properly. You lips will be fine . ... more

George Commons, MD
Palo Alto Plastic Surgeon

Ruined lips

The injector's experience is everything. The best thing about non-permanent fillers is that thay are not permanent. Be patient and select your injector with care.

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Lumpy lips from juvederm

First of all, consult with a board certified Dermatologist or Plastic surgeon with expertise in Juvederm treatment. Ask him/ her to review the records of your Juvederm and Hyaluronidase injections. It is usual for a lot of the swelling to go down on its own after 2-3days. The amount of Hyaluronidase injected won't even begin to affect your own Hyaluronic acid. In the future, when it comes to cosmetic procedures, especially on your face and certainly on your lips, make sure you go... more

Eugene Mandrea, MD
Chicago Dermatologist

Choose Your Physician Wisely for your Juvederm Lip Injections

As you now see, the effectiveness of your treatment depends on your physician’s ability to visualize the desired changes and to select and skillfully administer treatment. Since every face is different, the experience and technique of your physician injector is the most critical part to your achieving a beautiful, natural result. Fortunately, none of this is permanent so once the swelling is down, things will gradually improve and you will not have "ruined your face".... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

Don't panic

1. Hyaluronidase won't affect normal tissue. 2. Hyaluronidase can take a day or two to work, and any associated swelling from the injections could take a week or so to settle down. 3. A real risk [in particular close to the Mexican border] is that you got something other than Juvéderm®. You should ask to see the treatment record, and in particular look for the Juvéderm® lot number sticker, which should be on your treatment record.

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

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