White Bumps Around my Lips After Juvederm Augmentation?

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.

Lumps and bumps of the lips following Juvederm injections
are always a source of anxiety for patients who have undergone this procedure.
In the vast majority of patients white bumps following Juvederm injections are
related to permanent sebaceous glands which are more noticeable because of lip
projection. These bumps don’t require
treatment and tend to improve as lip fullness subsides.Occasionally
lip bumps are related to small collections of Juvederm. Under these
circumstances the bumps have a clear blueish coloration. This can be extracted
with small needle punctures or reversed with hyaluronidase.If you
have concerns about lip bumps, consultation with your surgeon is
appropriate. Your surgeon should be able
to make an appropriate recommendation to address your concerns.

Thank you for your question. From your photo this looks like superficial placed filler. You can gently massage the area and they should go away with time. However, you can also have this dissolved with hyaluronidase. I recommend having this evaluated by your injector to determine the best treatment plan. Best of Luck!

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!

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.