Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. Following my beauty principles, the lips should be full with the upper lip approximately 75 % the size of the lower lip for the lips to appear balanced. The lips can be augmented using a dermal filler or a Permalip implant. One section of a lip, the upper lip, lower lip or both lips can be shaped and augmented using a dermal filler by an experienced Lip Augmentation Surgeon. Dermal fillers and lip implants offer a much more reliable volume for augmentation of the lips than permanent fillers or fat injections which are associated with increased, unwanted, side effects. Minor swelling, bruising and lumpiness may arise after injecting dermal fillers to the lips. Some degree of this is injector related, some is related to the volume of filler injected and some is based on the vascular nature of the lips themselves. We massage the dermal filler after injection which tends to decrease lumps and bumps from aggregation of the filler in a certain spot within the lips. If that is done, the degree of lumpiness should be very minor and due to spot swelling of the lip(s) themselves. This should resolve in a matter of hours or a couple of days. You can ask the lip augmentation surgeon that augmented your lips if the lumps are collections of dermal filler than can be softened and dissolved using hyaluronidase. Hope this helps.