Lump After Juvederm Injection to Nasolabial Folds

Lumps and bumps can occur after a filler treatment, as well as bruising, but they usually resolve on their own. Lumps gradually disappear once the filler starts to get incorporated with your own skin tissue. It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time.

Being only 24hours after the procedure it can be difficult to tell. You can gently massage the area and that may help smooth out any uneven distribution of the product. Some patients can bruise and this may be a result of a hematoma which may take up to 2 weeks to resorb. If the lump remains for longer than that, I would return to your provider and be re-evaluated.

This bruise or small hematoma should be managed conservatively with an Arnica based product that you can buy online. My recommendation to patients is a standardized Arnica supplement known as Bruise-Pak.

Juvederm injection to the nasolabial folds is a great option to fill mild to moderate creases. It usually requires 1 to 2 syringes and can now be performed with only topical anesthesia with Juvederm XC. The most common immediate side effect is bruising and swelling which may last for up to two weeks. It can be reduced with proper injection technique, an epinephrine containing block and local ice application. The bumps you are experiencing are likely small bruises or hematomas which should resolve. Ice applied to the area every 4 hours for 15 minutes will help reduce this. If they are present for over 2 weeks, then this may represent a collection of the Juvederm under the skin which can be dissolved with hyaluronidase. It is too early to tell, so be patient and apply ice.

I hope this helps.

Dr. Trussler 

There is a chance that this is swelling, overcorrection or a small hematoma which is a collection of blood under the bruise. You should see your doctor to evaluate and possibly treat this area. If it is overcorrection it can be dissolved with the addition of hyaluronidase.

From what you are describing, you probably have a small bruise from the Juvaderm injection.  This can make it apperar firmer and even like a small lump in certain areas.  I would just keep icing the area and it should go down on its own.  Once the area starts to go down, you can then manipulate the area with some gentle pressure and see if it will smooth out on its own.  I would give it two weeks to resolve.  If it does not, then I would go back and address it with your surgeon.

Hi Isabel,

If by now you still have concerns you should return to your injecting physician for evaluation.  Good luck and be well.

Dr. P

It's unusual to get a large lump 12 hours after a procedure.  I'm concerned you may have some bleeding under your skin.  I'd recommend you see your doctor immediately.  He/she will be able to examine you and tell you exactly what's going on and what to expect in terms of your final result.

Dr. Cat Begovic M.D.

The fact that this lump was not present immediately after injection but appeared 12 hours later and is associated with localized supports a diagnosis of a hematoma rather than just excess Juvederm. This risk is increased with blood thinners such as aspirin, NSAID's like motrin, Alleve and ibuprofen, Vit E and fish oils. I would avoid these for approximately 2 weeks prior to a next treatment.

You can apply a cool pack to the area for a few days and avoid vigorous activities for a few days. Resolution may take up to around 2 weeks. It would be advisable for you to notify your treating physician of this situation. They may want to see you in the office.

A lump so soon after injection might just be a bruise, which will resolve with time.  If it does not resolve, then you'll just need to go back to your plastic surgeon or dermatologist to have her evaluate it.  The good news is that Juvederm lumps which are true lumps can be removed by injecting hyaluronidase.