I’ve found a lump above my lip after filler dissolving - is this a side effect or should I be concerned?

Question

I had my filler dissolved 5 days ago. Everything felt smooth, soft and dissolved with no lumps, then tonight a massive lump appeared above my top lip under my nose. It doesn’t hurt however is very uncomfortable. Could this be a side effect or something more sinister?

Raffy Karamanoukian, MD, FACS · Answer

Filler migration, swelling, and granulomas can cause significant discomfort and cosmetic ramifications. Our office specializes in the use of enzymes and filler reversal techniques without hyaluronidase to help improve the results of botched cosmetic fillers, whether caused by Juvederm, Restylane, or foreign fillers. Our plastic surgery institute provides expertise in filler removal. We begin by examining the facial fillers and assessing the likelihood of fluctuance or liquid volumization. If appropriate, we use Hylenex, or other filler reversal agents to reduce swelling and filler migration. Hylenex can be targeted into the areas of concern using multiple layered injection techniques. If the filler does not completely resolve, then additional concentrations may be employed. The technique has the potential to reduce the filler and may slightly impact normal hyaluronic acid. Treatments are repeated and results can improve immediately and with time.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Steven F. Weiner, MD · Answer

I would get this evaluated. This is not normal and I can't figure out what this is. Maybe an infection, maybe a granuloma. It needs to be seen. I don't know the reason for dissolving in the first place and could be related to that.

I’ve found a lump above my lip after filler dissolving - is this a side effect or should I be concerned?

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