I have lumpy uneven lips four months after Juvederm ultra injections. Should I be worried for permanent disfigured lips? (photo)

Question

I had one full syringe of juvederm ultra injected in my upper and bottom lip almost four months ago. i had minor bruising was my lips were very uneven and lumpy so the first couple days i did some massaging. my lips remained EXTREMELY swollen the first 2 weeks. After the swelling went down my lips returned to their normal size but remained lumpy/uneven looking mostly in my upper lip where most of the juvederm was injected. My lips still appear this way almost four months after the injection.

Allen Gabriel, MD, FACS · Answer

Thank you for your question and pics.  I would recommend returning to your treating physcian for an evaluation.  Once swelling has resolved completely, you may need to have some adjustements.  Best of Luck

Martin Jugenburg, MD · Answer

Thank you for your question. It is best to return to your doctor and be assessed. It is not normal to continue to have swelling and lumps four months after injections. You may require hyaluronidase injections to dissolve the product. All the best,

Monika Soni, MD · Answer

Thank you for your question. It is too early to determine what your final results will be. It is common to have lumps, swelling and bruising after lip augmentation. It can take 2 weeks for all swelling and bruising to resolve. If the lumps are caused by filler you can gently massage them to help smooth them out. If after 2 weeks you are unhappy with your results than you can have the filler dissolved with hyaluronidase. I recommend contacting your treating physician if you have any further concerns.

Cynthia Stolovitz, MD · Answer

HI,

I recommend you go back to your treating physician. He/she can easily dissolve the lump with hyaluronidase, an enzyme that breaks down the hyaluronic acid. It may take a few visits to get it right, but it can  be done.  This  can happen  to any injector,even the best of injectors. Do not  wait any longer !

Steven F. Weiner, MD · Answer

I advise you to get the Juvederm dissolved with hyaluronidase. This should probably have been done sooner. It is possible that there is some scarring at this point and the lumps might not go all the way down. I prefer using cannulas for lip augmentation for less swelling, less downtime,  and more even injections (less bumps).

Steven Wallach, MD · Answer

I think that an evaluation in person is important. It could represent filler, granulomas, scar tissue, or hematomas.  Best to be seen in person.

Darryl J. Blinski, MD · Answer

Options: wait till Juvederm is metabolized in a few months, re inject to the valley areas between the lumps, inject hyalurondiase to dissolve lumps, have surgical excision of the lumps...

I have lumpy uneven lips four months after Juvederm ultra injections. Should I be worried for permanent disfigured lips? (photo)

Answers (7)