Delayed hypersensitivity reaction after Juvederm 6 months ago? (Photos)

Question

Almost six months ago, I had lip injections, and it was my first time. Everything seemed fine, until I developed what seemed to be a cold sore 7 weeks ago. After it healed, I noticed a hard pea sized lump in the area of my lip where I had the “cold sore”. The lip injector thought the filler might have migrated, and tried to dissolve it, but it didn’t work. It’s only noticeable when smiling, or stretching my lips, however I’d like it to go away. Is this related to the filler (juvederm)?

Nelson Lee Novick, MD · Answer

Difficult to know for certain without an in-person examination that allows for palpating the bump. If it is due to shift in filler, then perhaps an increase in the concentration and/or amount of the hyaluronidase injected would help to shrink it. However, it is possible that a small hypertrophic scar developed as a result of the herpes infection. If so, then the use of an intralesional injection of an antiinflammatory agent, such as triamcinilone (in an appropriate amount and concentration) would prove more effective. Make sure you are consulting a board certified cosmetic dermatologist. Best of luck.

Delayed hypersensitivity reaction after Juvederm 6 months ago? (Photos)

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