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Why Does Juvederm Leave a Bump After the Injections?

Every time I get Juvederm, I develop a little bump, like a bug bite. Is there any way to avoid this?

Doctor Answers (24)

Avoid Juvederm bumps with good technique.

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Hi.

It is not the Juvederm that causes the bumps, It's how it is being injected.  You need a doctor with a good eye and excellent technique.


Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

A slight bump after Juvederm is normal

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When dermal fillers are injected the material expands the surrounding tissue. This is normal, and may cause some raising of the skin surface.

Over a few days this subsides to a flatter surface, while maintaining the cosmetic improvements for the life of the filler. The duration of the filling effect will vary with the type, location, and volume of filler used.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

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

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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stop about 1 mm before the needle is removed, otherwise product will be injected too superficially as the needle is withdrawn, creating those little bumps.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.

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Juvederm Should Not Leave Lumps or Bumps

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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.

Arnold W. Klein, MD
Beverly Hills Dermatologic Surgeon
5.0 out of 5 stars 5 reviews

Why Does Juvederm Leave a Bump After the Injections?

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If the bump you get every time you get an injection resolves within a few days then it may just be some swelling from the needle going through the skin, however if the bump persists for a very long time, then perhaps some of the product is being injected too superficially. 

Victoria Karlinsky, MD
Manhattan General Surgeon
4.0 out of 5 stars 15 reviews

Bump after Juvederm

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This can be related to excess product which can be massaged out by your injector (don't do it yourself) or the injection technique. If it is the injection technique, it will resolve itself.

Avoid Juvederm bumps with a good injector!

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Juvederm is a gel-like substance which allows it to be palpable under the skin after injection.  Any bumps that are present during the injection session should be massaged out before you leave.  You should not be able to see any bumps when you look into a mirror.

David L. Robbins, MD, FACS
West Des Moines Plastic Surgeon
4.5 out of 5 stars 15 reviews

Skill of the injector

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The technique that is used to inject the juvederm is what is resulting in the lumpines or bumps.  The skill of the injector is very important.  Make sure that the person injecting the Juvederm is a board certified plastic surgeon. Nurse injectors just do not have enough skill, training, education, or expertise to inject fillers.

Juvederm and Bump

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Juvederm is a great facial injection for the lips, nasolabial folds, chin, and other facial contouring.  Please post a photo to determine if the bumps are from the injection technique or the needle placement.  For the best cosmetic results please consult a board certified dermatologist with experience in facial injections.

Bump From Juvederm

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It sounds like the bump could be due to swelling or bruising from the injection itself. If it is bruising that forms, I would recommend using arnica gel, which is a herbal remedy that can help to minimize swelling and bruising after your treatment. I would also recommend that your physician apply ice prior to your treatment to help minimize your risk of swelling.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.