I have lumps in my lips 7 months after having Juvederm injected around my lip line. Am I having an Immune System reaction?

Question

Literally over night I had a bump appear on my lower lip. I thought it was a cold sore so I began taking Acyclovir. The bump was not painful at all. After a week I began to get 2 more bumps in my top lip. I went back to the nurse who injected the Juvederm. She didn't believe it was the Juvederm, but injected the 3 bumps with Vitrase. No improvement. I went to my Dermatologist and she injected with Steroid. 50% better until this morning. 2 more bumps overnight. What can I do?

Kimberly Butterwick, MD · Answer

It seems unsual to have lumps after that amount of time.  Although Juvederm can last up to 1 year, so it may just be the product that was ill placed.  Juvederm can be dissolved so I would suggest you follow up with your treating provider for options.

Harold J. Kaplan, MD · Answer

Hi Luppy.  What you should do is go back to your personal care physician.  It's not common for bumps associated with Juvederm to develop 7 months after the initial injection.  If the steroids are helping, then go back to your GP for an official diagnosis and more steroid injections.  There may be something unrelated to the injections going on.If it were to be related to the Juvederm (which is unlikely after 7 months), then there is a side effect known as a granuloma that can occur with dermal filler injections.  Granulomas are more common with thicker (and non-hyaluronic acid based) fillers such as Radiesse.  But it's worth discussing with your GP and/or your injector.  Try to get a diagnosis.

Richard W. Fleming, MD (retired) · Answer

This will eventually resolve as your body absorbs the Juvederm. If the lumps are obvious and you don't want to wait hyaluronidase can be injected to dissolve the injection material.

I have lumps in my lips 7 months after having Juvederm injected around my lip line. Am I having an Immune System reaction?

Answers (3)