After Juvederm is Injected, Should You Massage or Press it out?

At injection the doctor does the initial "sculpturing". If after a few days the swelling has gone down and you see a bump. Can mild pressure or massage work to "fan-out" or decrease the bump?

Doctor Answers 12

Massaging Juvederm

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it is possible to spread out juvederm but the ability decreases over time and it may be different for different anatomical sites. it is easier for the doctor to extract the Juvederm through a sterile puncture or inject hyaluronidase to dissolve the filler.

Manhattan Dermatologic Surgeon
4.9 out of 5 stars 39 reviews

Do not try to massage filler yourself

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It is important to go see your doctor if you notice any lumps - especially in the first 72 hours. After a certain period of time, lumps cannot be massaged out. Your doctor may need to use a hyaluronidase to dissolve the lump if pressure does not work. In either case, see the physician before taking the decision in your own hands and potentially leading to more swelling or a bigger lump in the area.

Kavita Mariwalla, MD
New York Dermatologic Surgeon

Juvederm bumps can be corrected.

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Juvederm, like all hyaluronic acid fillers, is somewhat moldable for the first hour or two. This is allows the physician to perfect the placement of the material and to smooth out minor irregularities.  After several hours the filler is pretty much "set".  If you detect a lump or bump after swelling has resolved it is doubtful that massage will make it go away.  Your options are to wait until the material decreases (many months), have your physician treat the area with hyaluronidase to dissolve the excess material or in some cases the material can be expressed by the physician.  One last option is to add more filler to blend the irregularities.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.6 out of 5 stars 36 reviews

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Massaging the filler after treatment

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Generally speaking, I massage the fillers myself to ensure that everything is perfect before the patient leaves the office. However, 'bumps' can be swelling or little blood collections and massage may not do much for these. If there is a bump due to filler then massage within the first 24-48 hours can be effective. 

Jeffrey Jumaily, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

Juvederm Lip Massage

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Personally I like to massage the area immediately after an injection because there is the feeling any firmness or lumpiness dissipates with massage. It is important that the injections are not placed too superficial and the injector uniformly place Juvederm at the site. Remember there is frequently local anesthesia mixed in with the filler and massaging guides the injector regarding the amount needed to correct the problem. If there is a concern several days afterwards there is a way to soften a site by placing a small amount of hyaluronidase in the area.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 21 reviews

After juvederm injection

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The injector often will manipulate the filler in order to improve appearance and texture. I would recommend the injector doing this however, and not doing it yourself. 

Filler bumps

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If you recognize a bump after some of the swelling went down, you may want the doctor to massage it in for you.  This is something you should ask your doctor.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

See your doctor if lumps appear after filler injection

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Dear Zetty - It does not take much effort to spread the filler around in the first couple weeks after injection. I specifically ask patients to NOT massage the area. I mold the product with gentle pressure with a Q-tip. The idea is to place to product to fill a fold and if that product is spread out the fold will no longer be filled. Thus, massage can reduce the effectiveness of your filler. Your injector can evaluate your lump, reduce it or add more filler to cover it up.

Stephen Weber MD, FACS

Juvederm can molded in the first 2 Weeks

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If you have a small bump, you can massage the Juvederm gently. In the first two weeks after injection Juvederm can be molded. It takes more force the longer it is in the skin.  Be careful not to spread the product too much. If you are in doubt, you better see your doctor.

Robert Kasten, MD
Mainz Dermatologic Surgeon

Massaging or Pressing Out Juvederm

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You can spread out Juvederm but the ability to spread it out becomes more difficult over time. I do recommend you make a follow up appointment with your doctor. I do not advise massaging it out on your own.

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

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.