How to Avoid Lip Injection 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. 

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.

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.