Lumps on Lips After Juvederm

It is 3 1/2 days after I had Juvederm, and I have a number of bumps on my top lip that create an uneven line when my mouth is open (in addition to discoloration). I also have one large lump on one side of my lower lip. Is this a common result? Will it go away? I am really regretting that I had this done and wondering about the enzyme that can be used to dissolve it. Will it cause another round of swelling/bruising?

Doctor Answers 10

Juvaderm lip lumpiness: observation & treatment


Fortunately you noticed this very early (3 1/2 days). This may be due to uneven insertion of the Juvaderm, but 1-2 more weeks time and massaging the fuller areas may allow it to even out.

This may be due to swelling and inflammation in areas where your injections were done. Again massage and time may allow this to resolve.

You are correct that the enzyme hyaluronidase is available to quickly remove excess HA filler material. Since it can be effective any time after HA injection, I would suggest you wait several weeks before having it done, if needed.

Continue to stay in touch with your plastic surgeon's office, and they will help you obtain a smoother result.

Greenville Plastic Surgeon
4.8 out of 5 stars 5 reviews

First give it time

3 1/2 days is too early to start being concerned about lumps in the lips after filler treatment. This is injection of a gel into an area of muscle covered by a thin layer of soft tissue (fatty layer under the skin), then skin and mucosa (the red part of the lip). Just by the nature of the process, lumps can occur since it is impossible to actually layer a uniform amount of filler across the lips. The filler is injected in aliquots, then massaged to make it as smooth as possible.

Some of the early lumps can be swelling from the needle and trauma of injection. You might also have a few small areas of blood under the skin from the needle sticks. Both can cause the lumps as well as discoloration. So, I would give it at least two weeks before considering dissolving the Juvederm. If it comes to that Hyaluronidase can be injected to dissolve the hyaluronic acid.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 125 reviews

Lumps on Lips After Juvederm

Having lumps is not uncommon. I would recommend you massage the area. Contact your doctor for a follow up in 10 days. Your doctor can then decide if any corrections are needed.

Hardik Soni, MD
Summit Emergency Medicine Physician
5.0 out of 5 stars 44 reviews

Juvederm results

This does not sound like a typical reaction. My expectation after treating lips is that they are smooth and feel natural. I would recommend that you follow up with your injector for further evaluation.

Kristin J. Tarbet MD, FACS
Bellevue Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

Lumpy Lips after Juvederm Injection

Dear Alicia_1929:  Lumps in the lip after Juvederm injection is not uncommon.  I would recommend seeing your physician 2 weeks following procedure for re-assessment and decide on whether you require any further treatment with regards to hyaluronidase to dissolve any inconsistencies.  All the best.

Praven Chetty, MD
Kelowna Physician
5.0 out of 5 stars 7 reviews

If you have concerns, return to your surgeon... make a treatment plan.

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.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Juvederm and swelling

Please do not regret your treatment.  Swelling and bruising are common after lip injections.  Return to your doctor 2 weeks after your Juvederm injections.  He can assess if any corrections need to be done to give you beautiful lips.

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Lumpy lips after Juvederm

It's still a short time after your procedure. If your lumps are still present 10 days afterwards then go back and see your doctor. In the meantime, gentle massage in the lumpy areas may help, but you should definitely contact your doctor in the meantime. With regard to the enzyme that dissolves the Juvederm (it's called hyaluronidase), it rarely needs to be used since the Juvederm is absorbed by your body over the next 6-9 months. It's very difficult to use that product since you don't know exactly how much Juvederm will be dissolved. It's usually only used when there is significant lumps or asymmetry at least 2 weeks following the procedure. Good luck!

Elan B. Singer, MD
Manhattan Plastic Surgeon
4.8 out of 5 stars 24 reviews

Lumps after Juvederm

It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time. You are still recovering from the treatment and have some swelling as well which tends to subside in a week or two.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

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.