What Caused Juvederm to Migrate Above the Lip Line Causing a Road Bump Appearance?

Hello, last month I had Juvederm injected just in my border and it ended up as a lump on either side of my lip. I had that dissolved and waited a week and had it injected in the meat of my lip instead. Now it seems to be traveling up and outside the border. I had my injections done at a PS office by his nurse. I've had several friends that had their lips done there with great results. Is it possible it's something about my lip? Are there any EXPERT lip doc's out there in Illinois?

Doctor Answers 6

Wandering Juvederm

Juvederm effects depend on product, tissue and technique. This sounds like a technique issue, where a "blob" of Juvederm was injected at once and then migrated. Juvederm works best when injected in linear threads. I agree that you should touch base with your plastic surgeon.
I can't stress enough how important it is to have your injectable treatments performed by an expert injector. Board certified plastic surgeons are trained to appreciate your facial aesthetics and anatomy, understand how to choose the appropriate products for you, understand injection techniques and pitfalls, and are competent in treating complications.
There are times when non- invasive treatments are effective, and times when surgery is the best answer. Your plastic surgeon is generally the individual best qualified to answer this question.

Kennewick Plastic Surgeon
5.0 out of 5 stars 37 reviews

Juvederm Migrating Outside the Lip Border

Unfortunately, fillers are not something that anyone and everyone can inject. Though it may seem intuitive to inject something into an area for volume, the practitioner must actually be very experienced and educated in the muscle, nerve, bone, and fibrous anatomy of the structure they are working on. They must also know threading techniques, as well as how to mold the product after injection, how long to apply pressure, and how much product to use. There is an artistry to enhancing features. I would recommend that you have the remaining product dissolved (or continually massage the area trying to bring it back down), and start over with a physician. Make sure to ask to see before and after photos and inquire about their experience and education. 

Cameron Rokhsar, MD, FAAD
New York Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Juvederm filler for lips

You should have the plastic surgeon assess your lips.  A different injection technique may work better for you.

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

Movement of Juvederm filler in the lip

Your description is highly unusual.and you should ask the plastic surgeon of that practice, who supervises the nurse who injected you, to evaluate your lip anatomy before you attempt to have more filler.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Juvederm in lips

Sounds like you are having a bit of trouble with your injection of juvederm to your lips.  I can not answer why it is lumping above your lip. It sounds like an injection technqiue issue. Why don't you have the doctor do it next time?

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Juvederm can be dissolved with Hyaluronidase

Juvederm can cause some lumpiness above the lip line, depending on how it was injected and how your lips move. But, it can be dissolved with Hyaluronidase if you don’t like the way it affects your appearance.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 66 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.