Possible to excise Juvederm Volbella from lips 2 months post procedure? Hyaluronidase is not an option.

This wk, three lumps have developed along the inner side of my lips, & the corners of my lips have become very thick. The lumps are very visible. I saw my injecting Dr & she said the lumps are from filler. I asked if we could puncture the lumps & excise the filler but she said that was not possible as the filler has integrated into the lip tissue by now. If that's so, why would these lumps appear all of a sudden? Is it possible to remove filler via this method 2 months post injections? Thank you

Doctor Answers 9

Lip nodules after Vobella

I would not go the sugical route. I would use hyaluronidase for this. Higher doses than normal are required for this product. It is a product related phenomenon. 

Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

Issues after lip volbella

Volbella is a great product for lips but the results depend on many factors including the skill and experience of the doctor doing injections, the location of injections as well as unique patient characteristics.
In your situation, I recommend that you see the doctor that did the inkections.

Mariusz Sapijaszko, MD, FRCPC
Edmonton Dermatologic Surgeon
5.0 out of 5 stars 10 reviews

Try hyaluronidase first

Hyaluronidase can be injected to dissolve the product. You don't need excision unless there's something else going on, like nodules or granulomas.

Removing Volbella from the lips

My preference is always to try hyaluronidase first. Any highly trained cosmetic injector such as a dermatologist can do this safely and effectively for you. Another option is to poke small holes into the nodules and try to express any excess contents through pressure. My final option would be to excise the nodules.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
4.9 out of 5 stars 42 reviews

I would trial a non surgical procedure first.

To quote my mentor and an excellent dermatologist, Dr Greg Goodman ' My second favourite filler is hylaluronidase.' 
Please consider this option as it is very easy to do, takes less than 10 seconds, then massage the area. 

If it is a HA filler, it will dissolve. If it is scar tissue it will not, and I do believe that excision maybe considered as an option. 

Hope this helps

Dr Davin Lim
Laser Dermatologist

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 56 reviews

Possible to excise Juvederm Volbella from lips 2 months post procedure? Hyaluronidase is not an option.

Lumps after hyaluronic acid dermal fillers can be improved with massage and/or the use of hyaluronidase. Follow up with your local plastic surgeon to determine your best treatment options. Thank you for sharing your question. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 158 reviews

Lumpy lips after Juvederm Volbella treatment

Thanks for your question.  Although very rare, its not uncommon to have a localized reaction to your dermal filler a few months after your procedure.  It is possible to settle these lumps using an enzymatic product which breaks down the hyaluronic acid in the product and it would be worthwhile disussing this with your injecting doctor, although it can't be used during pregnancy. While its not possible to surgically remove your dermal filler, you will find that the product will metabolize over the coming months and disappear.  In the meantime, lightly massaging the lips may help.

Removal of Juvederm Volbella

Developed by Allergan, Volbella is a new injectible filler for non-surgical lip augmentation and restoration. Its new patented hyaluronic acid formula results in less swelling, and long-lasting results. Volbella is used to smooth lip lines which develop with age, leaving your lips plumper, and to smooth fine lines around the lip area.

However, it is not approved by the FDA in the United States and can not be removed surgically. You may be able to massage the lumps to minimize their size and appearance.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 36 reviews

It is not possible to surgically remove Juvederm Volbella.

It is not possible to surgically remove Juvederm Volbella. It will metabolize in approx 8 months to a year. You may want to attempt a massage to soften the bumps in the lips.

All the best. Hope that helps.  

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 415 reviews

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.