What are these bumps in my lip filler? Can they be spot dissolved? (Photos)

Question

I’ve had quite the experience getting my lips re-done. I had to dissolve them twice, now I’ve gone back another 2 times for a full syringe and then .5. These two bumps are really bothering me and I’m wondering if they can be spot dissolved without hopefully messing up the rest of my lips? I was originally hoping the .5 would even it out more but now my lips look even bumpier than before. Is it possible that these are granuloma?

Anil R. Shah, MD · Answer

Hello,

You are able to spot treat however, it’s possible it could leave indentations depending on how much medications they use to dissolve the product. Talking to your provider to come up a game plan is crucial for the right outcome.

Hamid Bimesl, MD · Answer

Hi there...Bumps after lip filler injections can arise from a few different causes.Granulomas are localized areas of inflammation that sometimes develop after filler injections. They tend to be firm, persistent bum that don't go away with simple massage.. If the bumps are granulomas, they may require specialized treatment such as steroid injections or other interventions.
More commonly, bumps are due to the filler itself not being evenly distributed. These lumps can often be massaged out by your provider or, if needed, dissolved with a small amount of hyaluronidase. Dissolving just the affected area without impacting the rest of your lips is possible with careful application by an experienced injector. However, it does require precision, as dissolving too much can affect surrounding areas.
Swelling or bruising can also cause lumps or bumps, but these should resolve within a few weeks after the injection.
It's crucial to follow up with your provider, who can assess the situation and determine whether these bumps are related to filler or if they could be granulomas. In either case, options such as gentle massage, further dissolution, or other treatments can help you achieve a smoother result.
Good luck!

Jason Emer, MD · Answer

There can be some swelling and/or lumps after lip injections which can last 1 to 2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 minutes at a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results, you can have the filler dissolved with hyaluronidase and try a different technique next time. Best, Dr. Emer​​

Randal Haworth, MD, FACS · Answer

Bumps on the lips after filler injections can have different causes, including small areas of filler accumulation, inflammation, or infection. It is essential to have a consultation with the healthcare provider who performed the injections to assess the cause of the bumps.

If the bumps are caused by small areas of filler accumulation, they may be able to be spot dissolved with hyaluronidase, which is an enzyme that breaks down hyaluronic acid fillers. The healthcare provider may need to evaluate the bumps to determine if spot dissolving is the appropriate treatment.

Granulomas are a rare but possible side effect of filler injections. They are small, firm bumps that form when the immune system reacts to the filler. Granulomas may require a more specialized treatment, such as steroid injections or excision.

An “in person” exam would be necessary. 
It is important to communicate your concerns with your healthcare provider and have a thorough consultation to determine the best course of action for your specific case. Your healthcare provider can evaluate the bumps and discuss the potential risks and benefits of any treatment options.

Best of luck !

Robert Dale, MD · Answer

Spot dissolving filler in the lips is not usually successful because once the hyaluronidase is in the lip, it is very difficult (impossible) to control where it spreads. Lip filler should not look lumpy. Sometimes if feeling the lips you can feel lumps of filler inside, but you should never see visible lumps. This is usually the result of suboptimal technique when placing the filler.

What are these bumps in my lip filler? Can they be spot dissolved? (Photos)

Answers (7)

Answer: Lip filler injections

Answer: Lip filler injections

Answer: Spot dissolving does not work.

Answer: Spot dissolving does not work.

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Everything you need to know about Lip Fillers

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What are these bumps in my lip filler? Can they be spot dissolved? (Photos)

Answers (7)

Answer: Lip filler injections

Answer: Lip filler injections

Answer: Spot dissolving does not work.

Answer: Spot dissolving does not work.

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Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.