How to Avoid Lip Injection Lumps?

Any fillers can cause lumps in the lips but the lip implants are smooth and don't result in the lumps and bumps that fillers can get.  Also the implants are permanent and cost effective in the long run for about 1500-2000 per implant.  They are easy to put in under local anesthesia and easy to remove if needed.

Lip filler bumps is fairly common after filler and depends mostly on technique of surgeon.  Bumps can also occur with fat injections.  Avoiding the duck look is technique dependent.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  
Reasons for bumps after filler:
Technique- Filler may have been used too superficially or wrong type of filler
Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.
Treating lip filler bumps:
Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
Additional filler- An expert filler injector can used improved technique to mask the lip bumps.
The application of lip filler is very technical and should be done by an expert injector.

Hi 4423anon in canada,

Lumps after lip enhancement injections can happen with any lip injection material (fat, hyaluronic acid, collagen, etc) or surgeon/ specialist. Most lumps are temporary and due to swelling. Small bumps or lumps in the lips after cosmetic injection augmentation typically resolve in a few days, but possibly couple weeks. The lip bumps may be the product material, bruising / swelling, or combination.

Your plastic surgeon or dermatologist may massage the lips to help smooth the area. Alternatively, hyaluronidase may be injected into the bump to help dissolve the material. Lumps from the material itself generally resolve as your body naturally dissolves the product. Speak to your lip injector regarding any concerns you may have. Best of luck.

Dr. Chaboki

I have used fat in the lips without lumping for 35 years. It is the very soft and natural as long as it is not overdone and lasts forever. Perma lip is silicone which can be used but is not quite as soft but gives a very good result.

To minimize the risk of developing lumps or irregularities after lip injections, it's essential to choose a skilled and experienced injector and follow proper pre- and post-procedure care guidelines. Here are some tips to help avoid lip injection lumps:1. Choose a Skilled Injector: Select a skilled injector with extensive experience in administering lip injections. An experienced injector will have the expertise to minimize the risk of complications and achieve natural-looking results.2. Discuss Your Goals: During your consultation, clearly communicate your aesthetic goals and concerns with your injector. This will help ensure that you both have a shared understanding of the desired outcome and can tailor the treatment plan accordingly.3. Use Quality Products: Ensure that the injectable filler being used is FDA-approved and of high quality. Different types of fillers may be more suitable for achieving specific results, so discuss the options with your injector to determine the best choice for your needs.4. Proper Injection Technique: A skilled injector will use precise injection techniques to distribute the filler evenly and minimize the risk of lumps or bumps. Avoid overfilling the lips, as this can lead to a unnatural appearance and increase the likelihood of developing lumps.5. Massage After Treatment: Gentle massage of the lips immediately after the injection can help distribute the filler evenly and reduce the risk of developing lumps or irregularities. However, it's essential to follow your injector's specific post-procedure instructions regarding massage to avoid disrupting the filler placement.6. Avoid Excessive Movement: Minimize excessive movement of the lips immediately after the injection, as this can displace the filler and lead to uneven results. Avoid activities such as kissing, chewing gum, or applying excessive pressure to the lips for the first few days after treatment.7. Follow Post-Procedure Instructions: Adhere to your injector's post-procedure instructions carefully, including any guidelines for avoiding certain activities or products that may increase the risk of complications. Attend any follow-up appointments as scheduled to ensure optimal results.8. Monitor for Complications: Keep an eye on your lips after the injection and contact your injector if you experience any unusual symptoms such as swelling, pain, or unevenness. Prompt treatment of any complications can help prevent them from worsening.By following these tips and working with a skilled and experienced injector, you can minimize the risk of developing lumps or irregularities after lip injections and achieve natural-looking results.

Lumps in the lips following Juvederm injections can be caused by trauma, bleeding or too superficial of an injection.    Injecting the lips is technically challenging.  The goal is an aesthetically pleasing lip and not just a fat or sausage lip.  I usually inject in the white roll of the lip, this is the junction between the skin and the mucosal portion of the lip.  I usually do not inject in to the body of the lip as this can form lumps. 

Firstly, you can have beautiful shapely lips without looking like a duck and without having artificial looking lips. An experienced injector and good communication between the patient and the doctor are key. Make sure that they understand what you want. Lumps that persist are unusual when the proper filler is used by an experienced doctor. Temporary "lumps" may be caused with bruising but that is not common and should resolve quickly. 

The best way to get lumps from lip augmentation is by using hydroxyapetite.  Hyaluronic acid and fat are better alternatives.  Hyaluronic acid (Juvederm or Restylane) are smooth, reliable, but short lived.  Fat may be permanent, but where it takes and where it doesn't can be unpredictable.  I generally use the former.

I think with a good injector you wil have a lower incidence of lumps from injection to the lips.  But it still can happen.  I usually massage the lip after injection to minimize the risk.

Lips and the tear trough require extreme expertise. Find a board certified plastic surgeon to inject you.