Lumpy lips two months after Juvederm Volbella? What are my options? Will these lumps & thickness go away? (Photo)

Question

Hi, I had 0.8mL juvederm volbella injected into my lips 2 months ago. Symmetry & results were good. This week, lumps have developed along the inner side of my lips, and my lower lip corners have thickened. My smile now looks horrendous. I'm very depressed about this - what are my options? Will these lumps & thickness go away & how long will this take? I'm pregnant so don't think hyaluronidase is an option, but I am desperate for some advice. Thank you.

Mariusz Sapijaszko, MD, FRCPC · Answer

There are many ways to deal with uneven results after lip fillers. Fortunately these problems are not common. With the issues that you are describing, I recommend that you see the doctor who did the injections.

Jerome Edelstein, MD · Answer

Please return to your injector for an assessment. The cause of the lumps has to be determined by a physical examination, as it may be from excess product, infection or allergic reaction. Best of luck.

Martin Jugenburg, MD · Answer

It looks as though you may have blisters from your photo; although it is difficult to make a true diagnosis. Return back to your injector and be assessed. They may be able to massage the area and reduced the appearance of the thickness in your upper lip. Hope this helps.

Anshul Gambhir, MD · Answer

Thank you for your message! Unfortunately, dermal fillers with Vycross technology, such as Volbella, carry this risk. Granulomas can form months after treatment and often need to be injected with a dissolving agent and/or steroid for resolution. I would make sure your injector is aware of the issue as they often need to report it! The lumps/bumps should go away, though if you are pregnant, you should likely wait until any type of injectors until after you are finished breastfeeding!

Vilma Di Maria, MBBS · Answer

Thankyou for your question. After all this time i would suggest you go back to your injector and have some of the filler dissolved. The lumps are not going anywhere. The filler has either been placed too superficial or too much in one spot. This can be fixed.Hope this helps

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question Unhappy lips. I am sorry to hear that you are unhappy with the results of your treatment. Volbella is a
hyaluronic acid filler designed to enhance the lips. Lumps and bumps may appear after a treatment and can be dissolved with hyaluronidase. The safety and efficacy of hyaluronidase treatments have not been demonstrated with women who are pregnant or breast feeding. Please
consult with a doctor for specific recommendations. Good luck!

Steven F. Weiner, MD · Answer

This is a common theme where the Volbella is injected into the lips and is fine for several months. Nodules develop later on. This is related to the Vycross technology. It needs to be dissolved with hyluronidase. It requires multiple treatments because it is much harder to dissolve than other fillers.

Benjamin Barankin, MD, FRCPC · Answer

It is possible to get bumps after lip fillers, and it can occur with any filler. The lip is probably the highest risk area for bumps/nodules. Many resolve on their own after a few weeks, but if they don't, your dermatologist can inject the bump with hyaluronidase to dissolve it. Occasionally, they can just poke it, and express the excess filler.

Robert Drielsma, MBBS, BSc, FRACS · Answer

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.

Lumpy lips two months after Juvederm Volbella? What are my options? Will these lumps & thickness go away? (Photo)

Answers (12)

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