6 Days Post Juvederm Lip Injections. I Can See These Clear Pockets/lumps on the Inside of my Lips. Is This Just Swelling?

Question

My doctor's front desk lady told me this is completely normal. The more the swelling goes down, the more I can see these horrible lumps. But my doctor's office said this is swelling. I can see clear pockets on the inside of my lips where most of these lumps are. Will they go away?

Sam Naficy, MD, FACS · Answer

Unfortunately, this sounds like product that was placed too superficially. It can sometimes happen and it causes a clear "bleb" Sometimes it can be pushed back down into the lip. If not the "bleb" of product can be dissolved with Vitrase and smoothed out. Ask your doctor about treatment options

Young R. Cho, MD, PhD · Answer

Thank you for your question.  It is very common for the lips to look 
over corrected or fake the next day or feel lumps that are associated with swelling.  I often tell my patients that this
 is the "oh my gosh" day.  This is due to all the swelling 
that ensues.  It may last a few days with every day showing a decrease 
in swelling. The more you ice the first day or two, the less swelling 
you will have.   I would wait a few days to a week and then return to 
your injector if you still have concerns after that.  If you like the 
look of the lips at some point during the swelling reduction, then take a
 picture.  This way you know what volume you like in the lips for the 
future.

Monika Soni, MD · Answer

Thank you for your question. It is difficult to give you advice with seeing before and after photos. However, technique is very important when having lip augmentation, therefore you will want to see an expert. Some great fillers to help create a symmetrical lip are Volbella, Restylane and Juvederm. Another option to help improve shape and to create a lift is PDO Nova threads. I recommend having a consultation with an expert to discuss your concerns and determine the best treatment plan for you. Best of Luck!

Martie Gidon, MD, FRCPC, FAAD · Answer

Please see your injector.  The lumps are probably Juvederm that can still be massaged to smooth them out.

Emily Altman, MD · Answer

Swelling from Juvederm injections usually lasts 3-4 days, but may last up to one week.  If you are seeing translucent nodules after this time period, it is possible that the filler was injected too superficially and is showing through the surface of the skin.

	When this happens, the Juvederm takes its normal time to dissolve 9-12 months.  I recommend waiting until approximately 2 weeks after injection and reevaluating whether those lumps are still present.  If they are, they may need to be dissolved with hyaluronidase to make them go away faster.

Samir Shureih, MD · Answer

The doctors office answering medical questions is not acceptable. The physician only can examine you and answer your questions and concerns

F. Victor Rueckl, MD (in memoriam) · Answer

This is really hard to answer without photos. Would it be possible for you to post photos? It sounds like it could be normal swelling but it also sounds (and this is really what I think) that it's not just normal swelling, so photos would really help evaluate if it's: swelling, pockets of filler itself, cold sores (this is what I think is most likely), or necrosis (beginning stages of tissue death due to injections blocking proper blood flow). Also, I love my front desk staff dearly, but no one but the doctor should be diagnosing what you have, and any physician should want to see you if you have these types of concerns, in person!

6 Days Post Juvederm Lip Injections. I Can See These Clear Pockets/lumps on the Inside of my Lips. Is This Just Swelling?

Answers (7)

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