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.