Small bumps in my upper lip after filler: Is this the doctor’s technique or my anatomy? (Photo)

Question

I got Juvederm filler in October 2018 & noticed small bumps in my upper lip. I returned to the doctor who did the work & he dissolved the bumps only for them to return again a few weeks later. He has tried getting rid of them by physically puncturing them with a needle & removing the filler as well but they always seem to return. He says that it is just the way my tissue is-thinner in certain areas, causing the filler to pool up in certain spots. Has anyone experienced this before?

Monica Boen, MD · Answer

When bumps appear and then reappear it is usually a result of filler that is placed too superficially into the dermis. A hyaluronidase treatment should dissolve the filler completely. If it didn’t, you probably need another treatment to get rid of it completely. The key to successful dermal filler treatments is precision in terms of both dosing amount and needle placement. I recommend you find a board-certified dermatologist who is also an expert injector for an in-person assessment and treatment plan that will work right for you.

Camille Cash, MD · Answer

It appears from your photo that the product was placed too superficially.  The typical treatment is to have the product dissolved with hyaluronidase. As it seems your injector was able to remove more filler even after a hyaluronidase treatment  it may be that further removal of product is necessary to resolve the bumps.

Jason Emer, MD · Answer

If you're feeling pain, you should follow up with your injector / physician. Or see an experienced cosmetic dermatologist to get a formal evaluation, resolve the issue, and develop a new treatment plan to address your acne scars. Best of luck, Dr. Emer

Michele S. Green, MD · Answer

It appears from the fillers that the product has extruded and has given you the bumps  You can definitely have the lumps dissolved with Vitrase and it will look much better.  Please consult an expert in lip injections for the best cosmetic injections.  Best, Dr. Green

Brian A. Pinsky, MD, FACS · Answer

This can be the result of superficial filler injection. This also depends on which product was injected. Typically, hyaluronidase will take care of these issues but you may lose volume from the filler as well. Best of luck.

Small bumps in my upper lip after filler: Is this the doctor’s technique or my anatomy? (Photo)

Answers (6)

Answer: Lip Fillers and Augmentation

Answer: Lip Fillers and Augmentation

Answer: Bumpy lips

Answer: Bumpy lips

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Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.

Small bumps in my upper lip after filler: Is this the doctor’s technique or my anatomy? (Photo)

Answers (6)

Answer: Lip Fillers and Augmentation

Answer: Lip Fillers and Augmentation

Answer: Bumpy lips

Answer: Bumpy lips

Browse related questions

Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.