How to Heal or Remove 6 Bumps on my Lips After Juvederm Lip Augmentation?

You should talk to your doctor about injecting Vitrase to dissolve the Juvederm bumps.  The Vitrase works almost instantly and is very effective against all HA products (Juvederm, Restylane, etc).  

 

Good Luck.

Lip filler bumps is fairly common after filler and should only be done by an expert.  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.

Since you are just 4 days out - it's a little early to tell the final result.  Massage and wait about a week for the post-injection swelling to get better.  

If, after several weeks, the bumps are still there, you may want to have them injected with hyaluronidase, to dissolve the filler and get rid of the bumps.  

 

All the best,

Thanks for your question, At day 4 they may still be swollen, wait two weeks and by that time the filler should have integrated into the tissues and they should feel smoother. I would advise you let your medical practitioner know as they can massage out any lumps for you. If after two weeks you are still unhappy then there is the option to have the filler dissolved with an enzyme called hyalase. 
Wishing you all the best

Thank you for your question. Since you are only 4 days post-treatment it is to early to tell what your final result will be. It is common to have swelling and bumps after injection. The bumps can be from a trauma or superficial injection. You can gently massage the lumps to help smooth them out. If this persists for several weeks after treatment, you can have them injected with hyaluronidase to dissolve the filler. Best of Luck!

If the bumps are there two weeks after the injection, the filler that is causing them can be dissolved with hyalurodinase injections. It should be free of charge from your injector unless you had a different agreement with them. Once dissolved you may need to re-add the filler. Good luck

These do not look like bruises in photo but if feel tender, give it another week before running in to dissolve. If not tender then these might just be :lumps".  Go back to doctor and see what he/she says about them and if you are not happy , have them dissolved. I doubt that you will be charged. 

Thank you for a great question. It was only 4 days ago that you had the treatment, within the first 1-2 weeks the filler is moveable so I would firmly massage the lumps between your fingers within the body of the lip. If you do not feel confident doing this yourself then pop back to the treating practitioner who I am sure will help you. If the lumps do not completely dissolve then a solution called hyaluronidaise can be used to soften the filler and then smooth it, I personally would not expect your doctor to charge for this. You will need a patch test first but it is a very effecting way to smooth balls of filler. Good luck, I am sure you will end up with a beautiful result.

Dr Imogen
White Swan Aesthetics 

It is possible that the lumps are due to the Juvederm itself. Other causes of lumps may be inflammation, previous scarring, or a small amount of bruising from the injection. You may experiment with a cool or warm soaked washcloth to  month, you the area, or gentle massage to redistribute the Juvederm. If the problem persists after a month, you may benefit from hyaloronidase injection. Whether or not your physician charges more depends on the financial arrangement you have with them. I can't stress enough how important it is to have your injectable treatments by an expert injector. Board certified plastic surgeons are trained to appreciate your facial aesthetics and anatomy, understand how to choose the appropriate products for you, understand injection techniques and pitfalls, and are competent in treating complications. There are times when non- invasive treatments are effective, and times when surgery is the best answer.

I suggest you massage the lips right now because you're only 4 days after injection. You can mold the Juvederm with firm pressure. If they persist, hyaluronidase injections will help by dissolving the bumps.