may be metabolizing the filler at a variable rate. You can resolve
by replenishing the Juvederm, adding another filler like Restylane Silk, or dissolving the lumps. Please see an
expert. Best, Dr. Emer
Hello, and thanks for your question. Without a photo, it's difficult to say precisely what's going on. I suggest following up with your physician. It is likely that you need a touch-up in the setting of variable filler metabolism. In order to determine the best treatment plan for you, I recommend an in-person consultation with a board-certified dermatologist or plastic surgeon. Best of luck, Dr. Frucht.
You would have to be seen in person to determine what that bumps are. Most likely it is filler. Best of luck.
After 4-6 months, lip filler will need replenishing. Bumps are either from prior injections or uneven metabolism of the filler. I would fill on top of the remaining filler to make the lips look more even.
Lip augmentation can be achieved with facial fillers made from hyaluronic acid. These fillers are reliable, safe, temporary, and reversible. On average these products last in the lip area for about 4-6 months, depending on lip movement. Touchups that are spaced far apart can result in uneven lumps as some filler is absorbed and the newer filler is still in your lips. I would recommend waiting for all of it to naturally dissolve and starting from a clean slate. You can try to add more filler or dissolve what's left with hyaluronidase, but you may be chasing your tail. It's up to you and your injector. Safety comes first.
Thank you for sharing your question. If the bumps are residual Juvederm you have two choices available, you can either have your lips injected with hyaluronidase to speed breakdown and absorption of the residual juvederm or if the bumps are not so large as to be noticeable then you can allow more time to pass for your body to resolve the areas naturally. Hope this helps.