Lump/bump to top lip after Juvederm, is this normal? 4 days post op. (photo)

Question

Had juvederm to smokers lines (today is day 4 post fillers) and as swelling is dispersing I’ve got this bump under my Cupid’s bow on my lip. Any ideas? Is this still swelling?

Jonathan Kulbersh, MD · Answer

Swelling and/or lumps can be typical. Icing and cold compresses may give improvement. I would wait a full 2 weeks before judging the results, but this may be superficially placed filler. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Christian L. Stallworth, MD · Answer

This area can certainly still be some swelling, but could also be a larger deposit of product (Juvaderm) that needs to be addressed.  Depending on your exam, massage may help, or you may need an enzyme to dissolve some of the product.  This can only be determined with time and by an in-person exam.  I would recommend follow up with your injecting physician to know for sure.Best wishes.

Jason Emer, MD · Answer

It normally takes the filler 2 weeks, to settle in and integrate with your tissue. Depending on what type of Juvederm you had (i.e Vollure, Voluma, etc.) you will experience a variable amount of swelling. I recommend consulting with the physician who performed the injections, to address your concerns. Since these are HA based fillers, you can get them dissolved if unhappy with the outcomes. Best, Dr. Emer

Monika Soni, MD · Answer

This area can certainly still be some swelling, but could also be a larger deposit of product (Juvaderm) that needs to be addressed.  Depending on your exam, massage may help, or you may need an enzyme to dissolve some of the product.  This can only be determined with time and by an in-person exam.  I would recommend follow up with your injecting physician to know for sure.

Greenwich Medical Spa · Answer

It appears you have some consolidation of the filler to the medial upper lip/cupids bow. When filler is placed and swelling occurs (which is completely expected), the rush of water/inflammatory cells can clump the newly placed filler and leave a lump.  Given you are only 4 days post-procedure, I would recommend icing the area and lightly massaging the bump with vaseline or aquaphor. Additionally, allow a full 2 weeks for all swelling to dissipate. If the bump remains, please see your provider for assistance in removing the consolidated filler with hylaronidase (a reversal product for hylaronic acid fillers) or for more aggressive massage techniques to the area.

Atul Bembi, DO · Answer

Swelling is common after the fillers and due to vascular nature of the lips they swell more than other areas. 
Bumps from filler can be decreased with massage and warm compress. Examination is required to determine if this is filler or swelling so you should see your injector.

Clarity Medical Aesthetics - Guilford · Answer

Lip injections have a typical pattern:
1. You will HATE your injector for the first three days.
2. You will typically love your lips in 10-14 days.
3. You will wish they were bigger in 30 days....
These are general guidelines. Your initial results have not completely evolved yet. I would recommend calling your injector and schedule a follow up appointment for 10 days. If you have discoloration or pain, which I can not appreciate in the photo, please follow up with your provider asap. Results evolve as you use your lips and the product integrates into your lip tissue. In cases where the swelling or bump does not resolve, the product can be safely dissolved. Hope this helps.

Spa 35 - Boise · Answer

Swelling and bruising is completely normal in the first 2 weeks. I wouldn't judge your final results until the full two weeks have gone by, as the swelling is still present and it takes time for the filler to integrate with your own tissues. If you're unhappy at all after 2 weeks, follow up with your injector at that point. Good luck!

Lump/bump to top lip after Juvederm, is this normal? 4 days post op. (photo)

Answers (8)

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