Feeling Juvederm Lumps - is It Normal?

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.                      

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.

Feeling lumps and bumpa after a Juvederm or any filler is common. The lumps usually resolve itself but after two weeks if you still feel them you can massage the area.

It can happen at times. If the lumps are not painful and are not easily visible then don't do anything. If they are visible then get hyaluronidase to get them removed. If they are painful then either you have a bacterial infection and need antibiotics or you have herpes (cold sore virus) and need anti viral.
Regards

Thank you for your question. It is common to have some swelling after fillers for lip augmentation which can take up to 2 weeks to resolve. You can apply cold compresses to the area to help reduce swelling and bruising. It is also advisable to avoid any NSAID’s before and after treatment as they tend to thin the blood and increase the risk of bruising and swelling. If you have any other concerns please contact your treating physician. Best of Luck!

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.

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.

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.

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.

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.