Can Juvederm Be Felt Under the Lips?

I am thinking of having Juvederm to make my lips more plump and to have more volume. Although, after having a consultation, I was told that I would always feel the juvederm as if it is a small wire under the skin around the lips. Will this go away after a few days? Also, is having lumps on the lips common after having Juvederm?

Doctor Answers 8

Can you feel Juvederm if injected into lips?

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Most fillers are palpable for the first 10 days after injection. However, the lips should feel normal after a couple of weeks. Obviously, the larger the volume of injection, the more likely you will feel it.

New York Facial Plastic Surgeon

Feeling lumps or bumps from Juvederm lip augmentation

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Feeling small lumps or uneven areas inside the lip after Juvederm injections is not uncommon. This happens for two reasons:

1) The first reason: The inside of the lip and mouth is very smooth and the tongue will detect any change in smoothness or the surface landscape (no matter how minor) once filler is injected into the lips. So the fact that you might feel some changes is entirely reasonable and nothing to be worried about. Injection technique is important, obviously, but even the most practiced injectors can't guarantee the inside of the lip will feel 100% smooth following lip augmentation.

2) The second reason: Lip tissue is very much like sponge -- some of the "spaces" are larger than others so once filler is injected, it's purely an anatomical reality for some of those spaces accept more filler than others. This is what a patient may feel with lip augmentation...and this is nearly always confined to the inside of the lip unless you have a very thin lip body or an extremely thin epidermal layer.

Bear in mind that you most likely will only feel these irregularities or small lumps and not see them unless you lift or pull down the lip and stretch it tightly. Very few patients ever see any irregularities on the outside of the lips.

Smaller amounts of filler reduce the likelihood of sensing the filler used in lip augmentation.

Since it is the exterior visual that most patients want, it's worth focusing on that result. An experienced physician will not ignore other parts of the mouth area. Often times the philtral columns will benefit from a tiny amount of Juvederm or other filler to restore the natural Cupid’s bow. And the mouth corners themselves can be lifted with products like Evolence or in some cases with Botox if the downturn is caused by muscle contraction.

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.6 out of 5 stars 23 reviews

Juvederm for lips

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Thank you for your question. Having uneven areas and lumps after Juvederm injections is not unusual. This is because the inside of the lip and the mouth is very smooth and the tongue will detect any change in smoothness also, the tissues in the lips is like a sponge, some of the spaces are larger than others therefore once the filler is injected, it's purely a functional reality for some of those spaces to accept more filler than others.  This is why your may stay hard and swollen for the first several days. Also, the final results depend on your injector. I recommend having a consultation with an expert injector to determine the best treatment plan for you. Best of Luck!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

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Lip augmentation

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Yes; you will feel some more solid feeling to the lips, although this is not anything that most patients complain about. Lumps are not that common, but can occur after Juvederm.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

I don't agree

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The Juvederm initially will feel a bit firm as the swelling and inflammation resole, however, after several days to a week, it will soften, and should not be noticeable.


Juvederm for the lips.

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In New York City, we do quite a few Juvederm injections in the lips, and our experience is that, with good technique, lumps or palpable "strings" are very very rare.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Juvederm for lips

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I do a lot of Juvederm injections, and I have Juvederm in my lips. It is a great product. It is really soft, much softer than Restylane, and it should not look or feel like a wire. However, you will probably be able to feel some soft lumps in your lips. They may stay pretty hard and swollen for the first several days. The final result certainly depends on your injector, so make sure you find someone who does a lot of these injections and has good results.

Stella Desyatnikova, MD
Seattle Facial Plastic Surgeon

Juvederm Lip Augmentation

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It all depends on the injection is done.  After a couple of weeks you should not really be able to tell where the injections were placed.  In certain occasion, if the injection becomes a bit too superficial you will be able to see the injection though.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 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.