Juvederm Lumps the Next Day. Should I Massage it?

Question

i had juvederm injected at the lower corners of my mouth for drooping; next day and i have lumps on the inside of my mouth at both injection sites have a followup scheduled for day 5 however will that be too late for the dr to massage? i do not feel comfortable massaging this myself what should i do?

Sam Naficy, MD, FACS · Answer

Typically you get some swelling in the first 24-48 hours after injections of filler. The product will be softer after 3-4 days and the lumps may resolve on their own. Juvederm stays soft and can be massaged up to 2 weeks or longer so I would not recommend massaging it this soon. It's normal to "feel" the product where it was placed, but if it looks ok, leave it alone and follow up with your doctor as directed. It should be fine

Jerome Edelstein, MD · Answer

I recommend you do not touch or massage the treated areas yourself. It would be best to wait for your follow up appointment with your injector, and he/she can massage any residual lumps or bumps at that time.

Jonathan Kulbersh, MD · Answer

Juvederm is made of hyaluranic acid, a naturally occuring substance in the body. If can create lumps or bumps after injection. In these instances, massaging the area can help soften or eliminate the lumps or bumps. If you do not feel comfortable massaging the area yourself, I would call you doctor and follow up as soon as possible. The earlier you deal with the issue, the better off both you and your doctor will be.

Daniel Shapiro, MD · Answer

I would not suggest massaging the lumps yourself, to ensure that you do not upset or alter the area. My suggestion would be to contact your doctor and share with him or her the symptoms you are experiencing, and then coming into their office so that they can examine the lumps and determine a course of action.

Ramona Behshad, MD · Answer

Fillers can help correct volume loss around the mouth corners, but hematomas (little collections of blood underneath the skin) are very common after injecting this area. Usually, lumps caused by the Juvederm are present at the time of injection and do not develop the next day. Most injectors feels for lumps after injecting (although small lumps of filler can be missed since there is usually swelling after the procedure), and they make sure that any lumps are smoothed out prior to discharging the patient. Since I always feel for lumps post-injection, when patients call for new lumps, I suspect collections of blood over collections of filler. I do not recommend patients to massage the lumps without seeing me first, and seeing a physician on day 5 after injection is reasonable.

Juvederm Lumps the Next Day. Should I Massage it?

Answers (9)