Juvederm Left Large Lump on Right Side of Lip - Get More or Wait? (photo)

Question

I had Juvederm injected into my lips 4 days ago. I have a very large lump on the right side of my lip underneath (more toward the back and inside). It doesn't hurt but my lips are uneven. The doctor is new to injections and wants to add more to the other side to fix it. Could this simply be trauma and swelling? I have been massaging and icing but it looks so uneven. Should I wait and see if the lump goes away or balance it out? This is my first experience. No pain or swelling on left.

David Shafer, MD, FACS · Answer

I would let it settle for about a week.  If the lump is still there, then you can have Vitrase injected to soften it.   If your doctor does not provide this service, then you should be able to find someone locally that does. 

	 

	Good Luck.

Jeffrey J. Roth, MD, FACS · Answer

Thank you for the photos.  Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns.

Fredrick A. Valauri, MD · Answer

If you have a lump after Juvederm injection, it may simply be swelling and should be observed of a week or two.  

	If it persists, then additional Juvederm injection in an adjacent are may smooth the contour.  

	Alternatively, the excess Juvederm can be dissolved by injection of Hyaluronidase.

	Consult your board certified plastic surgeon for a follow visit after two week and discuss your concerns and treatment options.

Jo Herzog, MD · Answer

Sorry that you had a bad first experience. Firstly, do not have any more injected yet. Secondly, if this is a true lump it is possible that it can be easily expressed by pricking the area with a needle(the doctor doing this NOT YOU) and squeezing it out. If does not express I would wait and later use hyaluronidase to dissolve. The other possibility is that this is inflammatory and might resolve on its own. Seeing someone now might be good to get an opinion and a baseline even though you might do nothing as you will feel better knowing that you are in good hands. The good news is that this is not permanent and will be resolved. Make sure that whoever you see has a lot of experience with skin and fillers-a dermatologist or plastic surgeon only.

Sheri G. Feldman, MD · Answer

Please hold off on any further injections at this time. Let any swelling/bruising subside. After two weeks or so if the lump persists, I would have it dissolved with Vitrace. This is a quick and simple procedure and is very effective.

Juvederm Left Large Lump on Right Side of Lip - Get More or Wait? (photo)

Answers (8)