Feeling Juvederm Lumps - is It Normal?

I had Juvederm injected 4 days ago. Should I be able to feel it everywhere it was injected?

Doctor Answers 13

Juvederm and lumps

Lumps after fillers can occur. I will often massage them out when I am performing the treatment.  I will also tell my patientst that if they feel a bit "lumpy" to either come in for me to correct it, or lightly massage it at home.  This usually does the trick. Sometimes lumps can be bruising.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Should not have lumps after Juvederm.


You should not be filling lumps after Juvederm injections.  Go back to your doctor right away.  Even, after a few days, massage can help smooth things out.  But don't blame the Juvederm. Lumps are related to technique.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Lumps after Juvederm

It’s not unusual for patients to have contour irregularities of their lips immediately following injections with Juvederm. In the vast majority of patients this is usually related to swelling and may take several weeks to resolve. Unfortunately in some cases, these lumps may be related to uneven injection of Juvederm. Under these circumstances, the lumps will have a characteristic appearance. They will be firm with a bluish transparent coloration. When this situation arises they can be removed by either perforating the skin or extracting the material or using the enzyme hyaluronidase to dissolve the material. If you’re concerned about uneven lips following Juvederm treatments, consultation with your surgeon is appropriate.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

It's normal to feel a few lumps right after Restylane or Juvederm.

The hyaluronic acids are a gel substance that has a real volume. Often patients are surprised they can feel the material in their skin after injections. Depending on the doctor's goal, some of these areas may feel lumpier than others, especially from inside the mouth. If these areas don't show as lumpy from the outside, then it's a matter of whether they bother you from the inside. The physican can gently massage the lumps during injection to smooth the contour, but you should be careful massaging them yourself, which may risk the loss of volume restoration you liked when you looked in the mirror.  After a few days and weeks, the lumpy feeling often goes away on its own.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
4.7 out of 5 stars 41 reviews

Juviderm and lumpiness

Juviderm is soft and integrates readily into the skin.  After injection, you may notice a little firmness, but that should disappear in a few days.  Gentle massage can be done if you feel some lumpy areas.  Within a week, however, the areas of injection are normally soft and without lumpiness.  Check with your doctor and let him tell you what's going on.

Randy J. Buckspan, MD
Austin Plastic Surgeon
4.6 out of 5 stars 10 reviews

Lumps after Juvederm

Since the procedure was only 4 days ago I would not be concerned. They will fade in a few days. Just softly massage the area and it will be fine. If they are not gone in two weeks go back to your surgeon for a follow up.

Kimberly A. Henry, MD
Greenbrae Plastic Surgeon
4.6 out of 5 stars 36 reviews

Lumps after Juvederm injection are common

Although not entirely normal, it is common to have lumpiness of areas injected with Juvederm. The lumps usually resolve with massage after several days. If the lumps are still present after 2 weeks, consider following up with the individual who performed your injections.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Lumps in Juvederm 4 days post procedure

Hard to say much about your result without the photos.  Sometimes there may be some contour irregularities after injection.  This can be due to the Juvederm placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Please let your well trained, experienced injector know about your concerns.



Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

Lumps after Juvederm

It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time. You are still recovering from the treatment and have some swelling as well which tends to subside in a week or two.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Juvederm Lumps

Although it is not entirely normal, it is common to have lumpiness after Juvederm. The lumps can usually resolve itself with massage after several days.  If you observe lumps ten days to 2 weeks after treatment, contact your injector.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.