White Bumps Around my Lips After Juvederm Augmentation?

I had Juvederm in my lips, and see little white "pimples" under the skin on my lips. I never had those before. You can't feel them, but up close you can see them. What is this?

Doctor Answers 12

Bumps after Juvederm

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Juvederm is a clear gel, and is commonly injected into the lips. This is likely the natural appearance of the skin of your lips, it is simply now more visible since the lips have been augmented. Follow-up with the doctor who performed your injections to be certain the condition is benign, and not an unrelated viral or other skin condition.

Eugene Plastic Surgeon
4.3 out of 5 stars 14 reviews

Lip bumps

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What you describe is likely part of your normal anatomy, called Fordyce spots ( sebaceous glands) in the lip. They are not blocked they are just just pushed closer to the surface by underlying filler. They should look a little yellow to white and should not be bumpy in feel, they are smooth . The filler simple pushed them closer to the surface so you see them now. If the spots are bumpy / clear or blue in color then they are from the injection and can be smoothed out with pressure or a small nick to drain them. Inform your doctor of your concern they will see you and decide whether this is normal or needs to be addressed. By the way, I do not recommend that you try to have sebacous glands in the lip removed by TCA or other procedures, this will likely result in scarring or not work and they are there in your body for a reason! We all have them! Good luck

Shawn Allen, MD
Boulder Dermatologist

Bumps and juvederm lip filler

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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.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

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Bumps after Juvederm

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Thank you for your question. What you are describing is normal and unrelated to your lip filler. These are called Fordyce spots, which is normal sebaceous glands of the lips. They are visible because the skin of the lips is thin. You have probably had them for years, but noticing them now because you have had filler. I hope this helps!

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

White bumps after Juvederm in Lips

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Without a photo it is difficult to say what the white bumps or pimples are.  The differential diagnosis includes anything from a viral reaction to a benign reaction to the injection to too much product injected superficially.  Please return to your treating physician for examination and let me know.

White bumps around my lips after Juvederm augmentation

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 The white bumps you are experiencing after the injection is usually related to a small portion of the injection material expressed through the needle superficially along the skin. Massaging this area should help alleviate this issue

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

White Bumps around Lips

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Its most likely your sebaceous glands "oil glands" that are more visible now or it could be an unrelated skin condition. If the bumps are painful or causing you to feel self-conscience the physician that preformed the augmentation can affirm what the is the reason for the bumps.  If a small about of the product is to superficial to the skin that it can be corrected quickly by your provider.


Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

Juvaderm is clear

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Juvaderm is a clear product.  A better option for Lip Augmentation could be Lip Implants.  You may want to consider this if you do this on a routine basis.  Follow up with your Board Certified Plastic Surgeon or Dermatologist regarding these white "pimples" around your lips as they could be the result of an unrelated skin condition.

Robert E. Zaworski, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 61 reviews

What are these white bumps around my lips after Juvederm injection?

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The white bumps, around your lips, are a normal part of the lip anatomy (oil glands) that are more noticable after the lips are fuller from the Juvederm injection lip augmentation.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Bumps on lips after injection

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We all have sebaceous glands in our lips. It is a natural occurrence and they are there for a reason. They may look a little yellow to white in color and be smooth to the touch. Although this is most likely just the natural texture of your lips being pushed to the surface by the filler, it is always wise to discuss your result with the physician or nurse who initially injected you.

They can then decide if the bumps are normal or if it is something that needs to be addressed. If the spots are bumpy to the touch, and clear or blue in color, this may be caused by the filler and can be fixed by your doctor by smoothing or draining them. Always see your doctor if you have questions or concerns.

Scott W. Mosser, MD
San Francisco Plastic Surgeon

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.