Hard lumps in lip two weeks after Juvederm? (photos)

Question

I got my upper lip injected about two weeks ago, and a week ago I started to notice two hard lumps on the underside of my lip on either side. I tried to massage one of the lumps and it was quite painful. It's improved, and it's not painful anymore but it is still there. Is this something I should be worrying about? Photo attached. Almost looks as if the site he injected is raised entirely...

Anil R. Shah, MD · Answer

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.

Camille Cash, MD · Answer

Lumps and bumps after injections are not uncommon..  Most resolve with time and gentle massage.  If this is not effective for you and they are bothersome, you can return to your injector to have the product dissolved with hyaluronidase.

Martin Jugenburg, MD · Answer

Sometimes it is just swelling that is occurring.  With time the bumps should soften.  However an enzyme called hyaluronidase can soften the bumps if they are bothersome to you.

Jason Emer, MD · Answer

If bumps exist, you can reverse with hyaluronidase or remove with needle.  Please see an expert.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph. If you like the results of your lip augmentation, outside of the lump, I would recommend allowing a few more weeks to pass to see if the lump continues to soften and shrink in size.  If your results are not currently acceptable, have your injector place a small amount of hyaluronidase to help speed dissolution of the Juvederm. Hope this helps.

Hard lumps in lip two weeks after Juvederm? (photos)

Answers (8)

Answer: Lip Swelling/Bumps After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

Answer: Lip Swelling/Bumps After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

Answer: Hard lumps in lip two weeks after Juvederm

Answer: Hard lumps in lip two weeks after Juvederm

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Hard lumps in lip two weeks after Juvederm? (photos)

Answers (8)

Answer: Lip Swelling/Bumps After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

Answer: Lip Swelling/Bumps After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

Answer: Hard lumps in lip two weeks after Juvederm

Answer: Hard lumps in lip two weeks after Juvederm

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Recommended reading

Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.