Juvederm Hard Pumps and Uneven?

Juvederm is a great product for lips however the results can only be as good as the injector.  If it is injected unevenly you will not be happy with the results.  But there are things that can be done to correct the unevenness.  I suggest you see someone you trust, who has a great deal of experience to correct your lips. Don't despair,  It may be easier than you think!

  Lip bumps after Juvederm can be massaged early after treatment.  Enzymatic degrading is the next step, followed by reinjection, if necessary.

Sorry to hear about the issues you are experiencing following your treatment. Lumps are a possible side effect of lip augmentation with Juvederm. I would recommend visiting the physician who performed your injections for a follow up. He or she can dissolve the filler with the enzyme hyaluronidase if necessary. I hope this helps, and I wish you the best of luck.

Ridges can happen from any filler. It seems like you had vertical wrinkles filled in. In the lip the best approach is to spread the Juvederm as a carpet underlay in the skin part. Trying to fill individual vertical lines is tricky, it can work but also can give raised areas.

Solution: Get hyaluronidase to absorb the material and then later get it done properly and conservatively by someone with a lot of experience in lip injections.

Regards

Dr. J

Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Hi Kabreana.  Without pictures and/or the ability to feel the bumps it's hard to make a recommendation.  

It seems that the "ridges" are the major concern so you should go back in for a checkup with your injector to discuss the issue.

Dear kabreana,


It is hard to say without seeing and feeling them

If there were bruises there, the lumps could just be from that

The lumps could also be juvederm and may respond to massage

The final thing that can be done is to dissolve it all

What did your injector say?


Best regards,

Nima Shemirani

Juvéderm and other hyaluronic acid fillers need some time to settle into the area injected. But, 2 weeks is usually plenty of time. If there are any issues, always return to the physician who injected the filler to discuss the situation. There are options if it's not quite right:


Massaging the areas of injection

Possible placement of more filler

Or, the hyaluronic acid fillers can be completely dissolved as a last resort.


Start with the doctor who injected this for you and see if s/he can resolve the problems. If you don't feel you're getting anywhere with the situation, find a physician in your area who has a lot of experience with fillers for another opinion. 

Juvederm or any other filler for that matter can cause lumps and bumps in the skin (especially the lips), but this is actually a remote side effect when the injection is performed by a highly trained and experienced physician such as a dermatologist or plastic surgeon. Best to return to your doctor for a reassessment and consideration of hyaluronidase to dissolve the lump.

Palpable areas after any hyaluronic acid injection are not uncommon.  Bruising and swelling typically does not last longer than two weeks.   The beauty of a hyaluronic acid filler such as Juvederm, is that it can easily be dissolved with and enzyme called hyaluronidase if you are not satisfied and do not want to attempt another correction by your practioner.    I recommend visiting a office with a board certified dermatologist or board certified plastic surgeon for cosmetic treatments

I am sorry to hear about your issues. As mentioned below, it is truly hard to offer feedback without having the opportunity to see and feel what you are talking about. I can tell you in my opinion that Juvederm in the lips is slightly more advanced and should be a procedure that only a physician such as board certified dermatologist, or plastic surgeon should do. Have you returned to your treating provider to discuss these issues? If you did not see someone that has the training above, that might be a good option to consider a second opinion.