Juvederm: Q&A

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Massaging Lumps After Juvederm?

I had Juverderm injected in my lips on Saturday (today is Tuesday) and I have a noticeable lump on the inside of my upper lip. I have begun massaging it (didn't want to earlier as my lips were swollen/puffy), but do not yet see a difference. 1. Will it take awhile to go down with massage, or should I see a difference immediately? 2. If I get vitrase, will it dissolve all the juvederm, or just the lump?

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12 Doctor Answers | Asked by Rosie45 in New York, New York

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Massaging after Juvederm injections

I advise all my patients to follow a "hands off" approach to the treated areas after any filler injections. At the time of the injection treatments, I will massage all of the filler products so they are exactly where I want them. Once my patient leaves the office they have been instructed to wash the area gently and to use sunscreens and moisturizing lotions as needed. Juvederm is made of hyaluronic acid, a natural component of the skin. It will often cause immediate swelling which... more

Massaging lumps after Juvederm?

Initially your provider should massage if needed. Then allow a few days for swelling to go down. If you see unevenness after the swelling is down call your provider and be seen for follow up. Somethimes the lump can be massaged and smoothed out. If not a small amount of Vitrase can be injected just into the lump and this should dissolve just the lump.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Juvederm and lip bump

Please leave your lips alone. Swelling from injections of Juvederm can last 3 to 7 days. If you have a purple bruise there, the swelling can last longer. If it is still there after 2 weeks, return to your doctor for assessment. The Juvederm bump can be dissolved if necessary.

Massaging lumps after Juvederm treatment

I would not recommend massaging the lump as it may not be product. Occasionally, there may a little pooling of blood in the tissue – a hematoma – and massaging would only cause further inflammation. If the lump persists, follow up with your injector. If it is in fact product, it can easily be melted away without affecting the rest of your treatment. Also, most patients can palpate Juvederm after injection, as Juvederm attracts some water in the short term, which ultimately settles after... more

Juvederm issues

Having a lump in your lip after a juvederm injection requires an office visit to your doctor. This could be the filler or a hematoma.

Robert E. Zaworski, MD

4 reviews

Atlanta Plastic Surgeon

Re: Massaging Lumps After Juvederm?

Without evaluating your lips in person it’s difficult to determine whether the bump you are feeling is the Juvederm product, or a resulting hematoma from the injection itself. It is common practice for the clinician to massage the area immediately following treatment to smooth irregularities and ensure ideal placement of the product. I instruct clients not to massage the treated area and to follow up with me if they notice any lumps or bumps. I recommend following up with the clinician... more

Lump in lip?

A lump in the lip after filler material may represent the filler, or a hematoma to name a few. It is best to discuss this with your doctor.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

What to do with juvederm lump

I would not massage or rub on this lump at this time. It is possible that this is a hematoma(bruise, blood) and it will take a couple of weeks to resorb if this is the case. If it is in the inside of lip and superficial your doctor might be able to milk it out after a small needle prick. If that can not be done can use a little hyaluronidase. If you like your lips, I doubt that you need to worry about dissolving too much.

Lumps after Juvederm

I would definitely return to your injector for evluation and treatment of this lump. If it's a lump of Juvederm, a small amount of Vitrase will do the trick. It's important to have your doctor evaluate it to see what's going on.

Stop massaging your Juvederm and return to your injector

I always tell my patients not to massage injection areas themselves - you can cause more problems and even move the Juvederm around to unwanted places. Call the office that did it and see the doctor. Have him or her evaluate your lump and determine what should be done. But please stop massaging the area yourself; you might be doing more damage than good.

Lumps After Juvederm

You may have a bruise or have a lump form the Juvederm itself. If this is the case, injecting the lump with Vitrase may work very well. It will not dissolve all of the Juvederm. It works very locally. Massage at this point probably won't be very helpful.

Lump in Lip After Juvederm

Because Juvederm is a soft gel, it does not tend to form lumps. What you likely have is a hematoma. Make sure you go back to your physician to have this looked at. It will likely resolve on its own with a little massage.