Bumps and uneven lips after Juvederm? I got one full syringe of juvederm injected one week ago. (photo)

Question

I told the doctor I wanted a very small amount but I think he did way too much. My top lip is very bumpy and uneven. It looks okay when my mouth is closed but when I talk or smile one side droops and it's very noticeable. I'm not happy at all with it. Will the bumps go away or should I look into getting the enzyme to break it down?

Anna (MK) Mkrtchyan, NMD · Answer

Hello there madipaige,Thank you for your question and I'm sorry to hear about your concern.  Since only 1 week has passed post injection, there very well may still be swelling present, though there could also be a possibility that the product was injected too close to the surface depending on if you actually feel hard bumps.  I see my patients 2 weeks after for their follow up because most of the swelling takes about that long to subside.  With that being said, if those bumps are still present in 1 week, I would discuss your concerns with your provider and discuss the option of Hyaluronidase.  Hope this helps.Kind Regards,Dr. MK

Kian Karimi, MD, FACS · Answer

Thank you for sharing your concerns about your recent lip augmentation. Lumps and bumps are completely normal for up to two weeks after initial injections. At the two-week mark, I recommend following up with your injector for evaluation. If the lumps are still visible, your injector may gently massage the treated areas to disperse them, or he/she may recommend dissolving the filler with an enzyme called hyaluronidase. Best of luck with your follow up appointment.

Jason Emer, MD · Answer

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

Parker A. Velargo, MD, FACS · Answer

Give things 1-2 more weeks to allow swelling to fully subside. I have my patients follow up at 2 weeks post-injection to check for symmetry and perform any necessary touch ups. In the interim, you can try to massage areas of asymmetric swelling. If still present at your follow up visit, hyaluronidase can be used to dissolve the filler in the area of concern. Be sure you are being injected by a physician that is a board certified core specialist (facial plastic surgery, plastic surgery, dermatologist). Good luck!

Kouros Azar, MD · Answer

Lumps and bumps are a common side effect of lip filler. Wait another week to see if they resolve on their own. You can try gently massaging the area and applying ice. If they haven't improved after a couple of week then see your injector. You may need to have the bumps dissolved.

Peterson Pierre, MD · Answer

Unfortunately, it isn't uncommon to experience swelling or lumps in 
the lip area after a filler treatment. The area is very delicate and 
sensitive. Try grabbing your lip between your index finger and thumb and
 gently massage the bumps for a few minutes at a time, two to three 
times a day. This should smooth them out considerably. Ice after you 
massage and that should help the swelling. If the results are still 
unsatisfactory in a week, the filler can be dissolved by injecting 
hyaluronidase in the area.
As with all cosmetic procedures, 
especially when it comes to fillers, the skill of the injector is 
paramount. Always seek an expert in facial aesthetics to maximize 
results while minimizing side effects.

Camille Cash, MD · Answer

Bruising and swelling are common with lip injections and can take up to two weeks to subside.  If you are still unhappy after two weeks, return to your injector for an evaluation.  Until then, gentle massage of the area may help to soften them.  Most bumps do soften over time.

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Please keep in mind that it will take 2 weeks to see your final result.  At that point, if you continue to have concerns, please be sure to see your injector for an in-person reevaluation in order to determine the best course of action.  Any unwanted filler can be easily removed at that time.  Hope this helps and best wishes!

Leonard Grossman, MD · Answer

Try roller massaging your lips for the next week or so. If there's no improvement I would definitely catch up with your treating doctor. Good luck from New York City

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many lip augmentation procedures using dermal fillers or lip implants for over 30 years. From the photos, the lumps appear to be collections of the dermal filler since most if not all of the swelling should be resolved 1 week after the Juvederm injections.  You can contact the MD that did your lip augmentation and ask for some of the filler (in the lumps) to be dissolved with hyaluronidase.   Following my beauty principles, the lips should be full with upper lip should be 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.
Dermal filers 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.
Hope this helps

Bumps and uneven lips after Juvederm? I got one full syringe of juvederm injected one week ago. (photo)

Answers (10)

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