Lumpy lip filler fixes? Should I do more hyaluronidase and then try more filler?

Question

I received lip filler from a reputable place (a well-known plastic surgeon's office here) and was left with lumpy lips because the filler seemingly "balled up". I went back to her, she injected hyaluronidase but not all of it left my lips. I went somewhere else and they tried to even me out with more filler. I looked great until the swelling subsided and the unevenness from before is still there. I love the look just not the unevenness.

Raffy Karamanoukian, MD, FACS · Answer

Facial fillers using Hyaluronic acid can cause immediate swelling and uneven contour. The swelling usually subsides with time. I recommend applying Plato's Bruise Balm twice daily for a few days after injecting my patients. If the filler lumps do not resolve, then a small injection of Hylenex usually can correct an HA filler that is overdone. If Hylenex does not work, combination injections with verapamil or corticosteroid IIT may help. 
In some cases, Venus Viva RF can help tighten skin thereafter. 
Best 
Dr. Karamanoukian
Realself100 Surgeon

Elham Jafari, MD · Answer

Hi and thank you for your question! At this time since you seem to like the results right after the 2nd round of injection (when swelling was still active), it would make more sense to try to replicate that effect by careful injection of filler to add some volume and smooth out the lump. It should be done conservatively to avoid over filling, but the good thing about hyaluronic acid fillers is that they are quite forgiving and any excess can be dissolved later on if needed. I suggest taking a conservative approach and doing it in small steps if possible to make sure you can achieve the look you want before undergoing more rounds of filler followed by enzyme. I hope it helps and good luck!

Anna Avaliani, MD · Answer

Sorry to hear about your experience. I would highly suggest to return to your providers and discuss your options. You can either wait for the product to get absorbed over time, usually about 4-6 months or have them dissolve it partially or completely and have your lips reinjected with a different technique. Hope this helps. Best, Dr.Avaliani

Jason Emer, MD · Answer

If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. It can take a series of treatments with hyaluronidase. See an expert. Best, Dr. Emer

Faraz Valaie, MD · Answer

Hi,Thank you for your question, hopefully I can help clarify!
Is there any way you can provide us with the timeline of these events as well as some photos?
Thanks again for the question!

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Lumpy lip filler fixes? Should I do more hyaluronidase and then try more filler?

Answers (8)

Answer: Lumps after Lip augmentation with Fillers (Juvederm, Restylane, Volbella)

Answer: Lumps after Lip augmentation with Fillers (Juvederm, Restylane, Volbella)

Answer: Photos would be helpful!

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