Lumps on Lips After Juvederm

Hi there!I always suggest a period of 7-10 days to allow for any residual swelling or bruising to settle which certainly can cause visible lumps and asymmetry. In the case these persist beyond this time frame please contact the practioner who performed the procedure for further assessment. Hyaluronic acid based dermal filler is reversible. There is an enzyme called hyaluronidase that breaks down the product. I hope this helps!Best wishes,Dr Rupert

It really repends on what filler was used and where in the lips it was injected.  Injecting  the wrong filler for the lips or injecting too superficially can cause lumpiness. Sometimes however, even a suitable filler injected in the right place results in small amounts of the filler migrating  through the lip structures to the surface of the lips causing this type of lumpiness. I note it’s only been 31/2 days so there is a chance any lumpiness may still be a result of swelling or some deep bruising. I suggest  massaging your lip for the next few days with clean hands. If it doesn’t settle an experienced practitioner can dissolve the fillers with Hyaluronidase and start again. It’s not ideal but at least it gives you some peace of mind that things can be fixed.

The lumpiness immediately after juvederm is generally temporary and is related to swelling and bruising that will improve dramatically over the month following injection.  Anytime that you use a needle to deliver a medication there can be a small amount of bleeding and bruising that you can feel in the area and that is especially true in the lips.  I always try to explain to patients that this can occur in the first few days or weeks after an injection and it generally improves dramatically in the first 2-4 weeks after a procedure.  I would not recommend getting any hyaluronidase injected until at least 6 weeks afterwards because you will almost always smooth out before then.  Best of luck on your recovery.

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.