Should I have a lump after my cheek fillers?

Question

I had cheek fillers done about 7 hours ago and above my right cheek there is a decent sized lump. Is this normal? Should I massage my cheek to try to smooth it out ?

Deborah M. Longwill, DO · Answer

Sometimes people can get lumps, or bumps after fillers. They typically subside in size over time. It is recommended to apply ice after fillers to help with the swelling. Following post care instructions given to you by your doctor is very important. I would recommend contacting your injector for further questions and instructions. Wish you the best, Dr. Longwill.

Nima Shemirani, MD · Answer

Hi @ochiexx! Lumps and swelling can occur after dermal fillers. can be typical. I would recommend massaging the area and applying ice. I would wait a full 2 weeks before dissolving the lump with Hylenex. Best of luck, Dr. Nima!

Jeffrey J. Roth, MD, FACS · Answer

Thank you for your question.  Hard to say much without exam or photos.  You are only hours post procedure.  if the lump is hard, enlarging, and painful please get ahold of your injector right away.  Typically small contour irregularities may be present for a few days post op.  Ice will also sometimes help.  Please make your injector aware of your concerns. 
Jeffrey J. Roth, M.D., F.A.C.S.
Board Certified Plastic Surgeon
Las Vegas Plastic Surgery

Jonathan Kulbersh, MD · Answer

Swelling and/or lumps can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Dilip D. Madnani, MD, FACS · Answer

I always tell my patients to allow a full 2 weeks for fillers to settle down, especially if its your first time getting them, as you are not used to how its supposed to look. 80% of the time, fillers look great and settle in nicely immediately, 20% of the time, there is swelling and bruising that can occur and this can cause some lumps that will resolve. I assume you have a follow up with your injector so keep the follow up and follow the instructions given to you.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Initially you may have tissue swelling and/or bruising that can create an apparent lump after cheek filler treatment. Unfortunately without an in-person examination, or knowledge of your injections, it is difficult to weigh in if your lump should be of concern. I would address your concerns with your injector who has the greatest amount of knowledge of your treatment.

John Mesa, MD · Answer

Patients with questions and concerns about their voluma filler healing process should address those concerns with the injector doctor or nurse  that performed the procedure, ideally during a follow up consultation. Patients should not massage the area where the filler was injected unless instructed by their injector.

Michele S. Green, MD · Answer

It is difficult to tell if the lump is from swelling or from a nodule.  I would wait a fe days and ice and massage the area to see there effects. The lump may be product or simply swelling to the area.  Please consult an expert in cheek injections for the best cosmetic results.  Best, Dr. Green

Steven H. Dayan, MD · Answer

Dear ochiexx,
Thank you for your question. It is not uncommon to have some lumps or bumps soon after a filler injection due to reasons such as swelling as well as the filler product itself. You may try icing off and on for the next few days as well gentle massage to the area while waiting for the next two weeks to allow the filler product to take effect and settle out. We recommend close follow-up with your provider at two weeks after treatment or sooner should you continue to have any lump or bump concerns.

Should I have a lump after my cheek fillers?

Answers (12)

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