Restylane injection gone wrong? (photos)

I had my first ever cosmetic procedure done around my mouth. The injections did feel slightly painful but I was barely bleeding and no swelling. It did feel uncomfortable when I smiled. Within days I had about 3 hard lumps that didn’t seem to go away. I followed up with my doctor and she seemed clueless on what was going on. I use to get cystic pimples but that was years ago! I did smoke cigarettes a few days after, did I do something to create this mess? Was it the doctor? Help!!!!!