I have a lump on one side of my lip that hasn't gone away after 4 weeks, could it be hematoma?

Question

I had Juvederm injected into my lip (1ml) over a month ago and had severe bruising which went away, but on my bottom lip on one side i have a lump and im not sure if its the Juvederm or a hematoma. If it is will it get dissolved over time or do i have to go back??

Larissa Miller, MD · Answer

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Monika Soni, MD · Answer

Thankyou for your question. If  you still have a lump after 4 weeks then this is most likely product. It will not disappear. I suggest you return to the injector and get this dissolved. Easily fixed.

Horizon Plastic Surgery · Answer

Hi,
It's best to have a review with the injector. Sometimes lumps can be lanced with the product removed manually. Using a filler dissolver will also dissolve your natural hyaluronic acid in the area for a few months. Frequent, firm massage (if not painful) can also help.
regards,
Sophia RN

Vilma Di Maria, MBBS · Answer

Thankyou for your question .If  you still have a lump after 4 weeks then this is most likely product. It will not disappear. I suggest you return to the injector and get this dissolved. easily fixed.Hope this helps and good luck.

Marek Kacki, MD · Answer

It is impossible to tell from your description. What is the consistency of the nodule? Is it movable? Is it tender? Have you had it from the time of injection? s you see, it could be either one, a hematoma, filler, granuloma etc. You can try to flatten it by squeezing the nodule between 2 fingers with a sustained pressure for at least 15 seconds. You can repeat it several times for extended periods of time. If this makes no difference then I suggest to see your injector to have hyaluronidase injected to dissolve what is dissolvable. If you see no change than you must consider a hematoma and, if tender, a granuloma. Hematoma eventually resolves but it may take a very ling time since hematoma may leave behind a collection of fibrous tissue. If there is a suspicion of delayed allergic reaction or granuloma, one may inject steroids directly into the nodule. Good luck!

Blue Medi Spa - Sherman Oaks - Account Suspended · Answer

Hi thank you for your question.  Bruising and swelling typically doesn't last longer than 2 weeks so it is unlikely to be bruising 1 month out from the treatment. However, if you are unsure whether it is a bruise or product it is best to schedule a consultation with a board certified injector.  If it is product it may be recommended to dissolve with hyaluronidase.  Best of luck!

Andy Shieh, DMD · Answer

Healing may continue even after 4 weeks. If the hump does not flatten out in another 2-3 weeks, have your injector melt that hump away with hyaluronidase (Vitrese) and see. If that doesn’t take that hump lump away then that hump lump maybe healing scaring from blood vessel damage or tissue trauma. Give more time to heal. Massage that area, then go try melting that area with Vitrese, if that don’t work, then that lump may be permanent.

Melih Erogul, MD (retired) · Answer

Hi and welcome to our forum!
I am sorry that you experienced a complication of juvederm lip injection. At 4 weeks after a bleeding episode, the lump should be decreasing in size and discoloration should be subsiding. It is perhaps a bit too early for complete resolution. 
Is the mass unsightly? If so, injectable hyaluronidase may dissolve filler, but carries a risk of recurrent bleeding. 
It might be wise to wait it out. Schedule a visit with your physician. Discuss his / her recommendations after examination.
Best wishes...

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