Why Did my Body Metastasize Juvederm Lip Injections So Quickly?

The injection techniques used are critical in creating a long term effect. Both the amount of filler injected and the layer it is injected into can be criticial in the amount of time a filler lasts.
Be sure to find an experienced injector. Also be sure to recognize that most injectables are "off label" for use in the lips.
I hope this helps.

It would be best if you book a follow up appointment with your injector to see what's going on. You may have excess product that can be dissolved with hyaluronidase.

Patients frequently confuse the effects from the initial swelling post treatment with the expected results especially around the mouth. Lumps are generally an indication of poor technique. Consult with your injector as he or she knows the specifics of the case and about you. Ensure that your injector is an experienced and expert physician injector.

A Juvederm injection to the nasolabial fold will generally last up to one year.  On some individuals I have seen it last longer and on others not as long.  It all depends upon the rate at which your body metabolizes the product.

Juvederm is an excellent hyaluronic acid based injectable that can be used effectively for facial contouring.

Juvederm is commonly used around the lips, the smile lines, the marionette lines, under deep wrinkles, under deep scars, and even under the area of the eye.

Over time, your body will help break down the Juvederm that was injected. For this reason, you may see a feeding of your result after 9 to 10 months. Juvederm however never metastasizes. When we use the word metastasis we are speaking of cancer that moves from its initial location to another part of the body.
 

The initial results you saw may have been partially from swelling. Now that you are more than a month out and seeing that the lips are not as full, you may just need more material. 

These fillers generally do not last very long in the lips. I don't think there is anything particularly unusual about your case. Juvederm on average can last about 3 months in the lips, but for some people, it seems to last just a little over a month in this area area of the face in which there is a significant amount of movement.
I would hold the massaging at this point and consider being evaluated for the lumps inside the lips by the individual who performed your injections, though they should self resolve with time.
You might also ask whomever performed the injections whether it was Juvederm ultra or ultra plus that was injected. The ultra plus product contains a higher concentration of hyaluronic acid and tends to last longer than the ultra.

Hi! Just going by your description (and patients can certainly misinterpret findings), it sounds like the Juvederm was injected too deep in your upper lip, so that you have lumps on the inside and not enough improvement on the outside.
Live with this for another month. If the lumps really bother you ( I assume they cannot be seen), then they can be dissolved with hyaluronidase injections. Otherwise, they will slowly disappear in the next few months.
Howw a filler is injected is MUCH more important than which filler is used.