My lips are still lumpy after having filler dissolved. What is wrong? (Photo)

I'm sorry you're feeling self-conscious about the lumps—it's understandable, especially since you've been through several treatments and dissolutions. Here are a few things to consider regarding the lumps and possible next steps:

1. Filler Integration Time:
After 6 months, the filler should have fully integrated with your tissue, so persistent lumps are not typical at this stage. Sometimes lumps can occur if the filler was not properly distributed or if it settled unevenly.
2. Scar Tissue or Residual Filler:
It’s possible that there may be residual filler or even scar tissue left from previous treatments, especially after having filler dissolved multiple times. This could be contributing to the lumpy texture you're experiencing.
3. Options to Address the Lumps:
Gentle Massage: Sometimes, gentle massaging of the area can help smooth out any remaining small lumps, but only do this if recommended by your injector.
Dissolving: If you're not interested in adding more filler and want to address the lumps, you could consider using a small amount of hyaluronidase to dissolve the uneven areas. An experienced injector can target specific areas to avoid over-dissolving and maintain your desired lip size.
Microneedling or Laser: If scar tissue is the issue, treatments like microneedling or lasers may help smooth the texture without adding volume.
4. Consult with an Experienced Injector:
It might be worth getting a second opinion or revisiting your injector to discuss your concerns. A skilled practitioner can evaluate whether there’s still filler present or if another treatment might be necessary to achieve a smoother look.

Hi @kjh20. I'm sorry you are experiencing this. If you continue to feel lumps, I recommend dissolving your lips further with Hyaluronidase.

Best of luck,

Dr. Nima

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.