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