I Have a Hard Lump in Upper Lip from Juviderm. Will It Go Away? How Long Will It Take? (photo)

Question

i just had juviderm in my upper lip. Now there's a hard bump on one side of my lip - almost at the inside of the mouth. That side is alos more swollen. Will this go away? How long will it take?

Anil R. Shah, MD · Answer

Lip filler bumps is fairly common after filler.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  
Reasons for bumps after filler:
Technique- Filler may have been used too superficially or wrong type of filler
Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.
Treating lip filler bumps:
Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
Additional filler- An expert filler injector can used improved technique to mask the lip bumps.
The application of lip filler is very technical and should be done by an expert injector.

Steven H. Williams, MD · Answer

Lumps and bumps can be normal immediately post injection and tend to soften up over time after swelling has subsided. If it is still present after 2 weeks, contact your injector. Sometimes gently massaging the area a few times a day can help. The filler is not permanent, so if you just wait, it will gradually get metabolized by your body. A last resort would be to use a product called hyaluronidase to dissolve the filler. Contact your injector to determine the best plan for you.

Jerome Edelstein, MD · Answer

Lumps and bumps usually resolve on their own, once the filler starts to get incorporated with your own skin tissue. 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.

Monika Soni, MD · Answer

Thank you for your question. It is normal to have some swelling and bruising after lip augmentation, which can take up 2 weeks to resolve. You can apply ice to your lips to help resolve swelling and gently massage any lumps to smooth them out. However, from your photo’s it appears your top lip has been overfilled. You can have this even out with an injection of hyaluronidase to dissolve some filler. I recommend having a follow up with your injector to discuss your concerns and for evaluation. Best of Luck!

Peter J. Malouf, DO · Answer

you should return to the person who injected it and have them use a number 11 blade to "pop" the juvederm "pimple" that occured as a result of injected the product too superficially.

	 

	Best,

	 

	Dr. Malouf

Joseph Serota, MD, FACS · Answer

It is difficult to say for certain what is causing the lumpy appearance to your upper lip. Given that you just received an injection with Juvederm to the lip, the lump may be a hematoma, a fairly common injection related side effect that typically resolves on its own in several days up to a week or so. If the lump is caused by the Juvederm product itself, this can be improved by gently massaging the area once the initial swelling has subsided. Also, it should always be an option to have the injector reassess the lip at any time if you are concerned.

Steven Wallach, MD · Answer

A lump after initial filler treatment could represent the product itself or a small hematoma. It is best to be seen by your doctor. If it is filler often light massage can smooth it out. If it is a hematoma, it will take a few days to about a week to go down.

Jo Herzog, MD · Answer

It is possible that you could have a lump but this also could be exacerbated by swelling. I would give it at least a week and if you still have a problem go back to your doctor. If there is a lump, it can be treated.

F. Victor Rueckl, MD (in memoriam) · Answer

Your question says you "just" had Juvederm....most of the time I tell patients to wait a minimum of 7-10 days to adjust any fillers or have any concerns. This allows the fillers to settle and any subsequent bruising or swelling to subside. It seems like you might have a little pocket of the Juvederm there, which is easily adjustable, and happens sometimes when people use different techniques. I'd wait for 7-10 days and return to your injector if you still have this lump. A tiny bit of lidocaine will most likely be injected and your injector will massage the lump out, and/or a bit of hyaluronidase can be injected too if the lump needs to actually be dissolved a bit rather than just spread out. But please don't massage the lump yourself. I wouldn't suggest you move or adjust the lump yourself - your injector should know where and how this needs to be adjusted.

I Have a Hard Lump in Upper Lip from Juviderm. Will It Go Away? How Long Will It Take? (photo)

Answers (9)

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