I Had Juvederm Injected into my Lips and Have a Large Bump on my Top Lip. You Can SEE THE PRODUCT Under the Bump. (photo)

Hi Milehdoll,

I'm so sorry to hear that you're not happy with your filler. Give it time and massage the area a few minutes a day, contact your physician who did the injection so he can correct this issue. There is an enzyme call hyauronidase which could be applied to the lip and dissolve the bump.

Best Wishes

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.

Contact your medical provider in the bump doesnt heal, your physician can apply hyaluronidaseto the area to help dissolve the products

Dear Milehidoll,

These small bumps are a very common problem with lip injections with hyaluronic acids like Juvederm or Restylane.  My preference is Juvederm Ultra which is the softest gel.  Despite that, these bumps an occur; and they usually occur exactly in the area you have pointed out in your photos.  The simplest solutions to get a very small injection of Hyaluronidase just to breakdown that specific area.  Best of luck.

Treatment of Juvederm bumps in the lip can be accomplished readily with hyaluronidase injection. It can also be accomplished by making a needlestick nick in the lip and expressing out the excess product.

Both techniques work well - there is no reason to live with the bumps at this point. They are not swelling at the 3 week mark.

Juvederm and other fillers in the category of hyaluronic products are easily reversed using an enzyme called hyaluronidase.   Although it is rarely needed it is nice to know that unintended results can be fixed.  Hyaluronidase requires a simple injection into the bump and can be done anytime.  Because your treatment was only a few weeks ago it might also be possible to simply make a tiny incision over the excess filler and express the material.  If you have a good doctor with a good reputation then I suggest you consult with him. I think he will be able to give you the result you want!

Your physician, like you, wants your outcome to be perfect. I advise you to return to him to discuss corrective options, such as injection of a small amount of hyaluronidase to dissolve the bump.

A bump with visible product can occur if the product is injected too superficially.  Sometimes message will help smooth it out in the early injection period.  Since Juvederm is a hyaluronic acid filler it will easily dissolve with the enzyme hyaluronidase.   A small amount can be injected into the bump to dissolve the excess product within a few days to a week. This is a simple injection that your injector can easily perform.

Bumps in lips after lip augmentation can occur with even the best injector after Juvederm.  This is a very easy problem to fix with just a small injection with hyaluronidase.  It usually will improve before you leave the office.  See video on using a blunt cannula for the lips.  I prefer this way to inject the lips so there is less swelling, less bruising, and less nodularity.  

If Juvaderm is injected too superficially into the lips or skin, it can be visible; it can also sometimes cast a bluish hue if your skin is very fair (called a tyndall effect).  Juvaderm is a hyaluronic acid filler, and as such, can be dissolved by injected hyaluronidase (VItrase), an enzyme that degrades the filler.  I would suggest returning to your injector to discuss your options.  You can certainly seek additional opinions from other injectors, but I would guess that your original injector would offer you a complementary corrective treatment, while you would most likely have to pay for another doc to fix your lips.