Juvederm: Q&A

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Restylane and Juvederm Bumps - What Causes Them?

I have read many people complain of bumps after having Restylane or Juvaderm injections and others who love them. Are the bumps caused by user error or is that a possible side effect ? I am researching having wrinkle fillers. Although I am realistic and know I won't have the face I did 30 years ago, I also can't see doing this and finding my wrinkles less noticeable, but that the bumps have taken their place. Also, about how many cc's does it take on the average person to do around the nose, mouth and upper lip area?

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14 Doctor Answers | Asked by wrinklesbegone in victorville, ca

Doctor Answers (14)
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The most likely cause of bumps after injection is that...

The most likely cause of bumps after injection is that the filler is a bit too superficial (it was not injected deep enough). Usually this will resolve with time and massage, but it can happen with any filler. Experienced injectors will know how to minimize this risk, but even in the best of hands the risk exists. That being said, it is an uncommon problem in most cases. But this brings up an excellent point-- it is important to know the experience and the training of the individual... more

Taking care of bumps for those rare occassions.

It is possible to see bumps after the use of any injectable filler including Restylane and Juvederm. The bumps are caused by too much of the filler being injected at one point in the skin, and also injected too superficially. With good injection technique, bumps should be very rare. They should happen less than 5% of the time and be very small and hardly noticeable when they do occur. The good news is that the bumps do tend to flatten out over a period of 2 or 3 months. If the bumps... more

Restylane and Juvederm

Althought there can be bumps after injecting filler, they are easily massaged or softened if the filler is applied properly to begin with. I have had patients come in with bumps around the eye but this is an area that filler is not typically used so in that case I would attribute the bumps to the error of the person who chose to use filler in an inappropriate area. Juvederm and Restylane produce wonderful results for enhancing the lips and softening the nasolabial folds. Many people... more

Choose Your Physician Carefully...It's the Filler, Not the Filler.

Hi Wrinkles, With hyaluronic acid fillers like Restylane and Juviderm, lumps and bumps should be minimal. If present after the treatment, they should be massaged out, certainly they should be gone within 24 hours. When injected properly, your wrinkles should be less noticeable, and not replaced with bumps. Thicker skin is more forgiving, but even in thin skin, the technique can be altered to avoid bumps. Avoid taking aspirin products, Motrin, Advil, or any other blood thinning products... more

Michael A. Persky, MD

21 reviews

Los Angeles Facial Plastic Surgeon

drpersky.com

Facial fillers and lumps

Small lumps can develop when injecting fillers. This is not very common, and usually can be massaged away if felt in the first few days after injection. Sometimes, some filler gets close to the superficial dermis and a small bump can be felt. This sometimes can be squeezed out or massaged. Usually, 1-2 syringes are needed for most corrections.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Bumps from Restylane or Juvederm are temporary if they...

Bumps from Restylane or Juvederm are temporary if they occur (few to several days) and they are not easily seen. They’re very small and makeup can hide them. Some only have the slight redness for less than one day. Long term bumps are very unusual. It can occur as a reaction to the filler or if the product gets injected too superficially. Usually one to two syringes are needed, rarely three, depending on the length and depth of the lines. Most patients do very well and the results... more

Regarding Restylane and Juvederm

You definitely should not have noticeable bumps after the injections. It is not uncommon to occasionally have small bumps, but they can easily be massaged down by you. If there is a lot of bumpiness, get a new Dr. Most people only need 1 syringe or maybe 2. I virtually never use more than 2 in one session. It is rare for someone to need more than 2 and if so, I think you can get a better, more natural result by putting in more a few weeks later, after everything has settled. I like a much... more

Chance of bumps after Restylane

While the bumps you speak of are noted by consumers somewhat often on this site, we have noticed that most of the issue occur around the lips and under the eyes. This is because proper injections in these areas of the face require proper experience and training. To lessen the risk of experiencing bumps after Restylane or Juvederm injections: Search for a practitioner that has injections as a primary part of their practice, not secondary. Make sure that if you are having under eye... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Juvederm and Restylane and potential bumps

Since Juvederm and Restylane are hyaluronic acid fillers and quite soft, they should be massaged after injection to make sure the areas are smooth. Bumps in the first 24 hours can be caused by a bruise and can last 1 to 2 weeks. If any bumps remain, return to your physician injector who can massage the bump or dissolve it if necessary. It is unusual to have a reaction to these fillers but a red bump may occur weeks to months after the injections. If it occurs,... more

Restylane and Juvederm Bumps - What Causes Them?

Bumps can occur when the Juvederm or Restylane is injected to superficially within the skin limiting the fillers ability to flow within the tissue. Injecting the material a bit deeper should take care of that issue, IMHO. As far as how much filler is required for facial shaping, it's highly variable and depends on how deep the nasolabial folds (NLF's) are and how thick of a filler is being used. Juvederm and Restylane are great for lip... more

White Bumps After Juvederm

While white bumps can be a side effect of Juvederm, they are not common. The bumps occur if filler is injected close to the skin surface and causes natural sebaceous glands in the skin to be pushed towards the surface. The gland substance is then more exposed. A gentle skin cleanser can help along with some massaging. If the problem persists, then return to your treating doctor/nurse to review. Be sure that your doctor is a Juvederm specialist with... more

Bumps from filler injections are uncommon

When properly injected, Juvederm or Restylane should not result in bumps. Once in a while, a bump can form, but it is always temporary. There is a medicine that can be injected into the bump to dissolve it. In my experience, bumps with these injections are uncommon because we use an advanced injection technique that minimizes this possibility.

Side effects of dermal fillers

While the substance in Restylane and Juvederm is very safe, there are potential side effects from any substance injected into the body. The risk, however, is minimal if performed in the right hands and by someone with experience. The side effects are usually short lived, if any, and typical side effects that may occur are: Redness at the injection site Some swelling or bruising, which is usually minimal or short-lived Some lumpiness or irregularity usually not visible to other people but... more

Restylane and Juvederm, 'bumps' after injections

There is a rare possibility of red or thickened nodules (bumps) after Restylane, Juvederm, or other facial fillers. And although these happens minimally, it is a side effect to be aware of. The cause of the 'bumps' is usually a less experienced practitioner, injecting the filler too shallow (not deep enough under the surface of the skin), or too much of the filler injected into the site. The 'bumps' will flatten out on their own, possibly taking several weeks, up to 2-3... more