After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

Question

I have a lump in my top lip from juvederm I had injected ten months ago. The rest of the filler dissolved after two weeks. My practitioner assures me the lump is undissolved filler not a granuloma. She says that if I massage it it will probably disappear and that I should wait another 4 months before trying hyaluronidase, which can have its own side effects such as dissolving the natural HA in the lip. I do not trust this practitioner and all I achieve from massage is that I make my lip sore.

Jerome Edelstein, MD · Answer

I recommend that it is worth having your doctor try to break down the product with hyaluronidase. If it is still present, then this will help to break it down. You should also get a second opinion based on a physical exam if you don't trust your injector.

Monika Kiripolsky, MD · Answer

Hi Charlotte,

	  After 10 months, massage isn't going to do much to smooth out an uneven area of filler. And, I'm not sure of the rationale behind asking you to wait another four months prior to having an injection of hyaluronidase.

	   As Dr. Smith said, hyaluronidase will not cause a noticible diminishment in your body's natural hyaluronic acid since it is regenerated so quickly. I'd try calling around to find a physician in your area who has experience with injecting fillers as well as hyaluronidase. The lump should be improved (if not completely gone w/in 1-2 days). I typically have patients that I inject with hyaluronidase return for a follow-up approximately two days after the injection(s) so that I can reassess whether or not he/she may need a few more units of the hyaluronidase injected after the initial amount has "kicked in."

	  Hope this helps!

	MK

Peter J. Malouf, DO · Answer

Your injector should be able to use a tiny needle to puncture and remove the material in the office.

	It takes a few seconds and solves the problem immediately.

	 

	Good luck

Sheri G. Feldman, MD · Answer

Your lump will not resolve with massage.  Hyaluronidase is the best solution for this problem.  It may take more than one injection to resolve the lump completely, but it is very safe and effective.

Darryl J. Blinski, MD · Answer

I doubt after that long a time, 10 months, massaging would have ANY effect. Thry excision or injection of a dissolver like Hyaluronidase.

After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

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Answer: Juvederm lump and massage

Answer: After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

Answer: After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

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After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

Answers (10)

Answer: Juvederm lump and massage

Answer: Juvederm lump and massage

Answer: After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

Answer: After Ten Months, Can a Juvederm Lump Be Disolved by Massage?

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Everything you need to know about Juvederm

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