Can lip injections, Juvederm, cause heavy twitching and muscle spasms in lip?

Question

I got lip injections about 2 months ago, and I have a hard nodule from the filler still on the left of my lip. Right where that spot is, I've been having persistent twitching and pulling muscle spasms. You can physically see my lip moving to the side on its own. It's always that one spot around the nodule. Is this normal, and will it ever go away? It's starting to interfere with my social life because people can see it moving. Thanks for your help!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for the question. It is not clear what is occurring, because your problem is unusual. Ask you physician about Hyaluronidase. It can be injected into the area to dissolve the Juvederm. Hopefully that resolves your problems. Good luck.

Jason Emer, MD · Answer

Juvederm should not cause these symptoms, please speak to your dermatologist if you are experiencing them.  Best, Dr. Emer.

Monika Soni, MD · Answer

Thank you for your question. It is unlikely that Juvederm has caused this. However, I recommend having the filler dissolved with hyaluronidase. Hopefully this resolves your problem. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. It is unlikely that Juvederm has caused this. However, I recommend having the filler dissolved with hyaluronidase. Hopefully this resolves your problem. Best of Luck!

Richard O. Gregory, MD · Answer

Twitching generally results from neuromuscular irritability. This can be caused by fatigue, caffiene and injury, as from an injection as well as other things.  It is possible that either the needle irritated the nerve during injection or even that the nodule of filler has caused it.  As suggested, a trial of hyaluronidase enzyme into the nodule may help.  Botox has been used for blepharospasm and even time may heal it.  If your injector is unable to help then a neurologist should be consulted.

John Louis Ratz, MD · Answer

Seems like more than a coincidence, doesn't it? Ask your injector about hyaluronidase to get rid of the Juvederm. If he doesn't do it, find someone who does. If the twitching goes away, you've got your answer. If it doesn't, the injection may have injured a nerve. If that turns out to be the case, you should probably see a neurologist.        jlr

Chris Thiagarajah, MD · Answer

The short answer is highly unlikely but this needs to be investigaged fully. Muscles spasms of the face can be caused by something as simple as stress but also a tumor. A specialist needs to evaluate you.

George Commons, MD (retired) · Answer

This is very rare but I suppose if there is a nodule and the twitching seems to emanate for that area it could be related.   See your doctor and have a very tiny amount of enzyme injected to eliminate the twitch and nodule.    My Best,  Dr C

Can lip injections, Juvederm, cause heavy twitching and muscle spasms in lip?

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