Lip filler nodule - Dissolving filler did not help, what can I do? (Photo)

Question

I got lip filler last in February 2023. In October of 2024, I noticed on the outer corner of my bottom lip there’s a hard lump. It’s hardly noticeable to anyone but me, but it’s easy to feel. I went to the dermatologist and they said it did not look suspicious and recommended getting my lip filler dissolved. Well I got it dissolved this past week and my lips have deflated but the lump still persists. What’s my next steps?

Camille Cash, MD · Answer

If the nodule persists I encourage you to return to your dermatologist for a follow up appointment.  Depending on the nature of the module you may benefit from a steroid injection to help shrink it.

Anna Chacon, MD, FAAD · Answer

If the nodule in your lip persists after having the filler dissolved, there are several potential next steps you can consider:

Follow-Up with Your Dermatologist:

Schedule a follow-up appointment with your dermatologist to reassess the nodule. They may want to examine it again to determine if there are any changes or if further treatment is necessary.
Ultrasound Examination:

An ultrasound can provide more detailed information about the nodule, helping to determine its composition and whether it is indeed related to the filler or something else.
Consider a Different Treatment:

If the nodule is due to localized inflammation or scar tissue, treatments such as corticosteroid injections might be recommended to reduce it.
Surgical Removal:

In rare cases where the nodule persists and causes discomfort or cosmetic concern, minor surgical removal might be considered. This should be discussed thoroughly with a specialist.
Patience and Monitoring:

Sometimes, nodules can resolve on their own over time. Monitoring the lump for any changes in size, shape, or sensation is important. If it remains stable and is not bothersome, a conservative approach might be appropriate.
Consult a Specialist:

Consider consulting a plastic surgeon or a dermatologist who specializes in cosmetic procedures for a second opinion. They may offer additional insights or treatment options.
It's important to communicate openly with your healthcare provider about your concerns and any changes you notice. They can guide you on the best course of action based on their clinical assessment.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin - Winnetka & Chicago. This is a great question. It’s possible that the lump isn't filler at all anymore—especially since it was placed over a year ago and then recently dissolved. It could be residual scar tissue or a small fibrotic nodule. These types of lumps can sometimes be long-lasting and aren’t always visible, but you can definitely feel them when pressing on the lip. If it’s determined to be fibrotic or scar tissue, steroid injections can help to shrink it. I hope this helps and best of luck!

Lip filler nodule - Dissolving filler did not help, what can I do? (Photo)

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Everything you need to know about Lip Fillers

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Lip filler nodule - Dissolving filler did not help, what can I do? (Photo)

Answers (3)

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Everything you need to know about Lip Fillers

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