Lumpy and Uneven Lips After Juvederm. Is This Normal? (photo)

Swelling after lip enhancement is common and this will subside over several days. Occasionally this swelling may appear slightly uneven, despite the fact that the final result is symmetric. Cool compresses can be helpful for the first 48 hours in helping to reduce bruising and swelling.

Your pictures show what appears to be a relatively symmetric and even result with your lips closed. However, with your lips open, the inner vermillion and mucosa of the upper lip is uneven. I suspect that this is related to an uneven injection and not just swelling.

You could gently massage these areas that you are concerned about – gently rolling the lip between your thumb and forefinger while working back and forth over the area that is uneven. You should be able to disperse and mold the Juvéderm to provide improvement.

Lip enhancement procedures are individualized, but it is not uncommon to inject both the vermillion border and the body of the vermillion. Injecting the vermillion border provides definition and can smooth fine lines in this area. Injecting the body of the vermillion can provide additional lip volume and enhance vermilion show. If done by an experienced injector, both of these techniques are safe. Deep injections of the lip muscle should be avoided. Asymmetric injections in any area will lead to an uneven appearance of the lips.

If you still have concerns after several days, contact the physician who performed your treatment, and he/she should be able to provide more guidance.

Best wishes, Kenneth Dembny
 

Hi there and many thanks for your question. At the moment it is early days, this could be residual swelling / mild bruising after injection - there is always a settle in period. If they remain lumpy after around 2 weeks then I would recommend follow up with the injector to decide on the best course of action. I hope this helps and good luck!Best wishes,Dr Rupert

Lip filler bumps is fairly common after filler.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  
Reasons for bumps after filler:
Technique- Filler may have been used too superficially or wrong type of filler
Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.
Treating lip filler bumps:
Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
Additional filler- An expert filler injector can used improved technique to mask the lip bumps.
The application of lip filler is very technical and should be done by an expert injector.