Lower lip asymmetry and lumps after Juvederm

My cosmetic surgeon injected about 25% of 1 the syringe of Juvederm into my lower lip. About 5 hours after the injections, the swelling in my lower lip went down completely--it looked the same as it did before. This morning (13 hours after) my lips were so swollen that I had to call in sick to work. My lower lip is very swollen on the right side only. I have tried massaging it, but a noticeable lump remains in the lip and in the area between my lower lip and chin 24 hours later. Why does happen and will this go away? Please advise. Thanks.

5 answers to “Lower lip asymmetry and lumps after...”

A: Swelling is not uncommon after Juvederm injections

By Nissan Pilest, MD - Orange County Dermatologist

Following Juvederm injections we see some swelling that generally disappear in 5-7days. However, if this is a large lump it could represent a hematoma, which may have to be drained by your doctor. So it is best to go see your physician injector to check this as well as try to make the lip... more

A: Contact your physician

By Ronald Shelton, MD - Manhattan Dermatologic surgeon

You should have contacted your physician so that he or she can evaluate the situation. It does happen, rarely, that the lip can swell many times its size. This can last for a few days. Usually it is symmetric (equal on both sides) so with yours being unequal you should be checked to see if you have a... more

A: It can take awhile for the filler to draw in water

By Philip Young, MD - Seattle Facial Plastic Surgeon

In my experience, when there is extra oozing in the area, Juvederm is likely to pull in more volume than Restylane and can give you extra swelling in the area that has more oozing. This will go down over the course of a week. Don't worry though you can always take some of the hyaluronic acid away with an... more

A: One other thing to consider

By Steven F. Weiner, MD - Fort Walton Facial Plastic Surgeon

There is a condition call Angioedema. This is fairly uncommon, but does occur. It is abnormal swelling as the result of trauma (the injection). It can happen to anyone, but most cases occur in people that take ACE inhibitors (a type of blood pressure medication). If it is angioedema, steroids and... more

A: You probably have a small hematoma.

By George J. Beraka, MD - Manhattan Plastic Surgeon

Hi! That's a bummer, and it does not have anyting to do with Juvederm. I think the little needle that is used to inject the filler may have gone through a small blood vessel. This causes bleeding and a hematoma (swelling and bruising). Unfortunately, it may be a week before you look normal... more