Lumps on Lips After Juvederm

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.

It’s
not unusual for patients to have contour irregularities of their lips
immediately following injections with Juvederm. In the vast majority of patients this is usually related to swelling and
may take several weeks to resolve.Unfortunately
in some cases, these lumps may be related to uneven injection of Juvederm. Under these circumstances, the lumps will
have a characteristic appearance. They
will be firm with a bluish transparent coloration. When
this situation arises they can be removed by either perforating the skin and
extracting the material or using the enzyme hyaluronidase to dissolve the
material.If
you’re concerned about uneven lips following Juvederm treatments, consultation
with your surgeon is appropriate. Your
surgeon should be able to formulate an appropriate treatment plan.