Volbella lip injection bump. Is this normal? (Photo)

Question

Good after-noon, It's been 7 hours since my Volbella lip injection, and was aware that swelling will occur, but I noticed a bump on my top right lip (as seen on the picture ). Is this normal ? will it fade away ? It looks a little bit bruised. I have taken an appointment with the doctor in 3 weeks for another check up. Thank you for your replies

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about a bump on your lip after Volbella injection. Swelling is very common after injection with fillers. It is often due to local tissue trauma and bruising. It can also be caused by the filler itself, which can temporarily draw fluid into the tissues. If the swelling persists beyond 1-2 weeks, worsens, or becomes very painful you should follow up with your injector.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.

I hope this helps.

To be sure, see two or more experienced, licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment.
 
 I hope this helps.

Michael P. Morrissette, DDS, FACS · Answer

Some swelling is normal following the injection of fillers in the lips, but in looking at your photo I would follow-up with your injector in a few days if the swelling has not resolved. Occasionally, an excess amount of filler is placed in one area of the lip and if this is the case, it should be dissolved with hyaluronidase. I can't determine if the swelling is as a result of bruising from the photo that you provided. If the swelling is caused by internal bruising it will go away on its own. I recommend not waiting 3 weeks to see your injector.

Mariusz Sapijaszko, MD, FRCPC · Answer

There are several reasons for bumps after filler injections and different bumps need different treatments. I recommend that your see the doctor who did the inkections and review your concerns.I hope that helps and best regards, Dr. Sapijaszko.

Jerome Edelstein, MD · Answer

Bumps can appear after a filler treatment, and they usually go away in a couple of days as the product gets absorbed by your body. However, we recommend you wait it out for about two weeks, and if the bump is still there, return to your injector. They can massage it away (don't do this on your own).

Dmitriy Schwarzburg, MD · Answer

Bruising, swelling, sometimes discoloration, lumps, and bumps are normal side effects assuming proper injection. They will be gone in a matter of days. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures.

Blue Medi Spa - Sherman Oaks - Account Suspended · Answer

Thank you for your question. I am glad that you have a follow up appointment with your injector in a few weeks just to reassess everything. It is very likely for swelling such as the one you are experiencing to occur after the treatment if there is a hematoma (bruise) in that area. It is less likely for Vobella itself to cause swelling as it doesn't draw water to itself as much as most of the HA fillers, especially if the swelling is just one sided. There is a possibility that there was more of the filler injected on the left side which is causing that lump there. I would advise to wait a couple of days to see if the swelling starts to decrease. If not, I would try to contact your injector sooner than 3 weeks. 
Thank you, Melody

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question GreenBlanc. I understand your concern. Volbella is a
hyaluronic acid filler designed to enhance the lips. Lumps and bumps are normal for 2 weeks after a treatment. Patience is important. Please
consult with a doctor for specific recommendations. Good luck!

Julie Edween, DO · Answer

GreenBlanc,Chances are the bump in your lip is either bruising or that the filler was placed to superficially.  Noting that you have discoloration it is most likely a bruise.  Gentle massaging to the bump will help soften the area quicker, but expect it to dissolve over about a week to 10 days.  If it still persists, be sure to follow up with your doctor sooner, or an board certified specialist who is an expert injector.  Best of luck!Dr. Edween

Kimberly Lee, MD · Answer

Any time fillers (including volbella) are injected it is possible to get some unevenness or lumps.  Generally this can be smoothened out with some molding of the product before it settles.  If you are a bruised, that can also contribute to an uneven appearance that may subside once the bruise goes away.  The best recommendation is to confer with your injector.

Peterson Pierre, MD · Answer

Volbella is my current favorite filler for lips: it's soft, smooth, natural and lasts for up to one year! However, like any filler, it does have some side effects, namely injection pain, bruising, and swelling. The bump you're experiencing is normal. I would recommend applying a moisturizer to your upper lip, taking the lip between your thumb and index finger and gently stroking the lip in a linear fashion to massage out the bump. I would that twice a day for 10-20 strokes. It should take only a day or two to resolve. Following up with your doctor is also a good idea although your bump should be long gone by the time you see him.In addition to the products used, remember, especially with fillers, the skill of the injector is paramount. Always seek out an expert in facial aesthetics, such as a board-certified dermatologist to maximize results while minimizing side effects.

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