Why Does Juvederm Leave a Bump After the Injections?

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.

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.

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stop about 1 mm before the needle is removed, otherwise product will be injected too superficially as the needle is withdrawn, creating those little bumps.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

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... more

It's difficult to answer your question without knowing more info. For example, have you had this same reaction no matter who injects (do you always go to the same injector or does this happen with several different injectors), does it happen in every injection site on your face in all different anatomic regions or always in just one spot. If you only get your lips injected, does it always happen for example in the left corner of your mouth or does it vary? Have you... more

It can be that there is minimal swelling after your treament. Juvederm is actually still soft after it is under the dermis for the first 24 hours, so you can use massage to the site to flatten out any lumps. For future treatments, do make sure that the provider is experienced in the placement and tecnique of the product.

The bumps that you are referring is generally an accumulation of juvederm.  An experienced and skilled injector may be able to eliminate this problem.  However, you may be reacting to the juvederm which may also lead to bumps.

Being that you have experienced this on more than one occasion, it may be related to poor injector technique and should be addressed with your practitioner before your next treatment in order to get their feedback. You also should make them aware of any concerns or questions following your treatment. If the lumps resolve within the first 24 hours, it is generally considered an inflammatory response by the body which is not uncommon and should not cause concern. In any event, keep the lines... more

Juvederm is composed of cross linked hyaluronic acid. It is injected subdermally with minimal complications. A small spot post Juvederm can represent product that is superficially placed or it can represent minor injection site trauma with the needle. In any case, it seems as though the problem is transient as you have returned to having Juvederm performed.

Sometimes the skin reacts to the needle injection. This usually goes away in a few hours after injection. Sometimes the Juvederm is injected too close to the skin and becomes palpable. I usually mold the Juvederm with my fingers to flatten out any irregularities. I also tell my patients that they can do the same over the first few days if they feel it is a bit lumpy.

The bump may be from the Juvederm itself, or it may be from inflammation at the injection site. Fillers are injected into the dermis of the skin, not in the very top layers of the skin. If the injector keeps pushing the material into your skin as he or she is pulling out the needle, there might be some product injected too high in the skin. This would cause a little bump that you can feel, or even see. Most bumps are easily smoothed out with some pressure and massage. Sometimes the act... more