I had Juvederm in my lips a few months ago now lumps are suddenly forming, what can I do? (photos)

Question

Results were good but now several months later, lumps are forming. Left bottom and left top. These 2 just appeared overnight. There was another on lower left that was injected with hyaluronidase and got smaller.

Muhammad Mirza, MD (license suspended) · Answer

Juvederm can lump at times. It's a very soft product. Eventually, the lumps should go away. There is a reversal agent that can be potentially injected into the lips to dissolve the lumps. By and large, there should be nothing to be concerned about. If you wait it out, the lumps should eventually go away.

Aldo Guerra, MD · Answer

I suggest you go see your injector/physician. Late swelling is a concern and you need an evaluation. This may require additional hyaluronidase and it is known to be occur uncommonly with juvederm.Good luck. Dr. ALDO

Jonathan Kulbersh, MD · Answer

I recommend following up with your injector. The filler can be reversed with hyaluronidase. I hope this helps.

Michele S. Green, MD · Answer

Delayed reactions to Juvederm need to be treated by dissolving the Hyaluronic Acid Filler with Hyaluronidase to dissolve these nodules. It can take a few treatments to dissolve these fillers. Please consult an expert in dermal fillers and lip injections to have the best cosmetic results. Best, Dr. Green

Aaron Capuano, MD, FACS · Answer

Hello and thank you for the question.  You may have developed a delayed nodule.  While this occurrence is relatively rare, it has been reported in the literature.  Sometimes the appearance of nodules occurs shortly after patients experience flu-like symptoms.  Treatment currently consists of oral prednisone, intralesional injection with corticosteroids or hyaluronidase.  Adjunctive measures may also include massage of the nodule and warm compresses.  Time from treatment to resolution of nodules typically takes about 6 weeks.  It is important to follow up with your injector for a thorough evaluation so appropriate treatment can be initiated.  Hope this helps.

Joyce Davis, MD · Answer

Juvederm contains hyaluronic acid.  Any lumps can be dissolved with hyaluronidase.  It is a simple office procedure and any practitioner who inject hyaluronic acid fillers should have this on hand.  I am not sure why the lumps would form at this late time. You should make an appointment with your injector and have him/her examine them for you.

Richard O. Gregory, MD · Answer

Several months following lip injection lumps appeared "overnight".  These probably have been present or growing for sometime and just became apparent.  There are several possibilities including:  hematoma at injection which then led to scar formation, excessive HA, and biofilm formation.  All of these can be treated.  I think this speaks to the issue of who should be doing injections as there is very little control and thus unqualified injectors are seen.  Injections should be done by someone who can deal with the complications.

Leonard Grossman, MD · Answer

You should definitely have a follow up with your treating physician. You need to be evaluated and a proper treatment must be provided. Good luck from New York City

I had Juvederm in my lips a few months ago now lumps are suddenly forming, what can I do? (photos)

Answers (8)

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