Blue Boils on Lip 2 Weeks After Juvederm Lip Injection

Sometimes the clear Juvederm gel can dissect through the tissue planes and move from deeper placement to more superficial locations (just below the skin) where the Tyndall effect makes the "blister-like" areas look bluish in color. Though injection with hyaluronidase can be performed, it actually breaks down native tissue hyaluronic acid more than hyaluronic acid fillers (which are more cross-linked, and which is why they "last" in tissues). The effect of diminishing the bleb, bump, or "boil" may be the same, but it usually is incomplete.

Better, in my opinion, is using a sterile needle to puncture the Juvederm bubble, gently squeeze the excess out, and massage the rest into the soft smooth look you wanted in the first place. Consider slightly deeper placement the next time, or perhaps a different injector if this seems to be a recurring problem.

BTW, arnica is a great homeopathic remedy for bruise reduction and reabsorption (we use it in my surgical practice daily because we feel it really works), but it does not prevent bruising. If your injector hits a vessel (we all do on occasion, because they are there!), arnica or not, you WILL get a bruise. Just a smaller one, and one that goes aways faster, but a bruise just the same!

If these are not bruises or hematomas (which can be delayed and can still occur despite taking Arnica), they are probably nodules of the Juvederm that are causing the Tyndall effect.  This is a physical property of the product in how it reflects light and causes the color to appear bluish when it's superficial. It can be corrected by the doctor sterilly expressing some product or by using hyaluronidase injections to dissolve the product. 

I am guessing that this is probably the Juviderm you are seeing thru the lip. Return to your doctor and he may need to open these with a needle.

When Juvederm is placed too superficially it can create bluish bubbles.  You can have your doctor dissolve them by injecting a medicine called hyaluronidase.  Otherwise, they should slowly dissolve as your body metabolizes the product.  

Dr. Cat Begovic M.D.

This sounds like your injections were done a little too superficially.  I recommend going back to the provider who injected you.  He or she will more than likely  discuss dissolving the Juvederm with a solution called "Vitrase" or if the little bubbles are very superficial, he/she might opt to incise and express them individually .

Good luck.  Hope this helps.

 

Dr. Grant Stevens  

These are most likely superficial blebs of Juvederm and, if so, should be of no concern. You need to see the doctor who performed your injections, so he or she can evaluate you.

Most likely the Juvederm was injected too superficially and the small deposits of Juvederm are showing through the skin with what is called the Tyndall effect, giving it a translucent, bluish discoloration.

Those can be either expressed through a small nick in the skin or dissolved with small amounts of hyaluronidase.

As long as the blue bumps do not hurt, they are likely due to too superficial placement of the filler.  I highly recommend you show the physician that injected you.  Massage of the blue areas can often help move them away from the surface.  Another option is for the physician to make a very small hole with needle or sharp instrument after prepping your lip with alcohol or other antibacterial, and expressing the material that is right near the surface.

Hope that helps.

Madeline Krauss, M.D.

If Juvederm is injected too superficially it may cause a blue-colored bump that is quite visible. VERY firm massage of the area may fix the problem by forcing the Juvederm deeper into your lips. If this is not successful you should return to your injecting physician so the Juvederm can be expressed through a small nick in the overlying skin. There is no reason to be concerned. Juvederm is made of hyaluronic acid, a natural component of the skin.  It is safe, easily absorbed and poses very little risk of allergic reaction.

 

The Juvederm may have been injected to superficially in your lip and you're seeing the Juvederm as blue nodules.  You can massage these gently but should also see the MD that did the Juvederm injections to be sure that's the cause and to see if he/she has other instructions for you to follow at this point.