What is the Best Way to Dissolve Lumps Without Reducing my Achieved Lip Volume?

The injector should consider using discrete amounts of reversal agent such as Vitrase to locally reduce the bump.

Lumps in the lips following Juvederm injections can be caused by trauma, bleeding or too superficial of an injection.    Injecting the lips is technically challenging.  The goal is an aesthetically pleasing lip and not just a fat or sausage lip.  I usually inject in the white roll of the lip, this is the junction between the skin and the mucosal portion of the lip.  I usually do not inject in to the body of the lip as this can form lumps. Small lumps may just be from the needle trauma.  Vitrase or Wydase can be injected into these areas and will melt the Juvederm lumps in a day or so.

The best way to prevent lumps in the lips is to select a physician with experience in treating the lips so it does not happen.  I use a special technique that makes Restylane and Juvederm very smooth and essentially bump free after injections. If it has already happened, a small amount of enzyme can be injected to dissolve the bump, it can be massaged down or even a small nick can be made it the skin and have the bump expressed out.  Look for the "Expert Injector" credential for any physician that you allow to treat your lips to minimize these undesirable consequences.

Dr. Crutchfield