I Still Have Lumps in my Upper Left Side Lip from Juvederm?

I got juvederm ultra in my upper lip to increase volume, within the first 4 days the right side got normal but the left side still has very firm hard lumps and one is huge! they start to stick out if i touch them even in the slightest so i dont touch them anymore, but they wont seem to soften or decrease in size whatsoever and im at the 10 day mark. This makes it embarrassing to smile with my mouth open or talk sometimes because theyre visible from the outside.!!

Doctor Answers 12

Lump after Lip Injections of Juvederm

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     Lumps on the lips can be massaged in the first few days.  After that period of time, hyaluronidase can be injected to dissolve the lumps.

Bumps and lip filler

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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.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

Contour irregularities after lip augmentation with Juvederm

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Sometimes massaging the areas of contour irregularity can help to redistribute the product and smooth the lumps.  Juvederm has the consistency of a gel, so it is fairly easy to mold.  However, if an excessive amount of Juvederm was injected into the left side of your lip, a portion of it may need to be dissolved with Vitrase (hyaluronidase).  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

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Lip lumps after Juvederm

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Of all the places that get injected with fillers (e.g. juvederm, restylane, perlane etc), probably the lips are the most likely to develop lumps, although still quite uncommon in trained and experienced hands. If noticed in the first two weeks, the lumps can be firmly massaged by yourself or your dermatologist/plastic surgeon. If after two weeks, the filler nodule can be dissolved with some hyaluronidase quite simply and safely.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

Lumps following Juvederm treatment

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This is a potential side effect of lip augmentation with Juvederm. I would recommend visiting the physician who performed your injections for a follow up, as he/she will be able to provide you with the best advice. If necessary, the enzyme hyaluronidase can be used to dissolve the Juvederm. Thank you and I hope this helps!

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Juvederm lump in your upper lip

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You should return to your physician for assessment of the lump.  It may be Juvederm that can be massaged to even it out or you can have it dissolved with hyaluronidase.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

Uneven lumps after Juvederm

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It sounds like you need to return to your provider for correction.  Sometimes massage can move the product but if that is not indicated or the lumps persist they can be injected with a small bit of Hyaluronidase to dissolve them. There is no reason for you to put up with lumps when they are easily corrected.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Juvederm bumps are reversible

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You need to call your doctor and see them asap.  Juvederm bumps are rare but reversible with an easy hyauronidase injection.  I hope your problem is resolved soon. 

Rebecca Baxt, MD
Paramus Dermatologic Surgeon
4.8 out of 5 stars 29 reviews

Lump after Juvederm injection on the lip

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Most of the lump after Juvederm injection can be managed with massage and occasionally Hyaluronidase if necessary. If the lump is not getter better after 10 days then it's time to go back to your physician and see if Hyaluronidase is needed. On rare occasion, I have seen persistent lump that just wouldn't go away and eventually required surgical excision. Keep an eye on it and allow enough time for the lump to dissipate. 

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

Stewart Wang, MD, FACS
Los Angeles Plastic Surgeon
4.6 out of 5 stars 28 reviews

Bumps on Lips after Juvederm

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Hi SSXO.  At the 10 day mark, if you have not alerted your treating practitioner then you should do so now.  They should want to have you come in to see them.  

It may just be some hard tissue from bruising as Dr. Echavez points out, but it may also be  the beginning of a hard lump that is more serious (granuloma).  Either way, it's best to go back and see your injector as they can deal with either of these issues.  Good luck.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 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.