Lumpy Lips! Please Help, Am Devastated? (photo)

Hi, I had restylane in my lips for the first time 4 weeks ago. I was unhappy as there was next to no difference from before, and one side had more product in than the other. So I went back a week ago, and she suggested that she add more volume, as she felt it would be ok for may face and would also help to even things out. Now I am left with this disaster! They are lumpy, assymetric, and little clear globules have collected on the insides. This cost £455 in total, what can I do?

Doctor Answers 13

Lumpy lips fix

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Looks like too much product was injected.  Luckily this product (Restylane) typically starts going away in a month or so and rarely lasts more than 6 months.  Massage should help but if you want them to go down quickly, find a local cosmetic/plastic surgeon experienced with hyaluronidase and they can help you out (near instant fix).

Chattanooga Facial Plastic Surgeon
4.1 out of 5 stars 24 reviews

Lumpy lips

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Occasionally, lumps can occur.  Massaging them can help reduce them and can assist with making the lips appear more even.  Hyaluronadase can be injected to help dissolve the product.  Prior to doing that, I would advise that you return to the clinic to discuss the concerns and seek the advice of the doctor.  If you are uncomfortable with the clinic or doctor, seek the advice of  a dermatologist or cosmetic plastic surgeon in your area.

R. Stephen Mulholland, MD
Toronto Plastic Surgeon
4.6 out of 5 stars 101 reviews

Restylane injection to lips - uneven results

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Usually waiting a few weeks will give you the true picture on your Restylane swelling.

If things are intolerable, you can have your lips injected with hyaluronidase to dissolve the filler.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Lumpy lips

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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.

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 177 reviews

Hyaluronidase can help

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You should wait a couple of weeks for swelling to subside before assessing your results. The swelling may be contributing to the current size of your lips.

Bumps may be excess product. Hyaluronidase injections can break up hyaluronic acid based filler so that it gets absorbed by your body faster, reversing your results.  

Restylane in lips

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Hi! So sorry you were unhappy. Restylane can be a great filler for lip volume. Since it has been 4 weeks, the initial swelling should have gone down by now. If you are still unhappy, the antidote to the hyaluronic acid in Restylane can be applied to eat up the product. It may take more than one injection of the hyaluronidase. Best of luck!

George T. Boris, MD, FRCS - Account Suspended
Los Angeles Facial Plastic Surgeon

Restylane in lips

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This is why I always recommend being conservative when augmenting the lips with any filler. It's not hard to place the right amount of filler in the lips if you are an experienced injector. This was obviously somewhat overdone. The good news is a small injection of hyaluronidase into the lips will completely or partially dissolve the restylane. Or you could wait a while and it will eventually go away on it's own.

My goodness...think there's a problem

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overall at a week you seem to be too puffy and lumpy just from the picture...while time may allow some of the puffiness to resolve...I think you'll need something in addition...looks like the proportions of upper lip to lower lip are off...sometimes very firm pressure can equalize some of the product...maybe several minutes of squeezing several times a day for up to a week...but if you're still unhappy in another week...then it's time to see a specialist with the idea in mind of removing the product with hyaluronidase injections and after everything neutralizes...then if you want to persist, see someone who specializes in cosmetic dermatology or plastic surgery for consideration of treatment...

sorry for the problem...thankfully it's not permanent...

Ken Landow, MD
Las Vegas Dermatologist

Lumpy Lips! Please Help, Am Devastated?

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Dear Sj,

Thank you for your question and photo.  It looks like you have a bit of uneven placement of the product.  This can be corrected by adding a little more to the right side indent, or using hyaluronidase to dissolve some of the product in the fuller area.  Injections just like surgeries are very doctor dependent, and the more experience a doctor has, the better the result.

Best Wishes,

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Lumpy lips

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I would give it two weeks before evaluating the final result, as swelling can influence the appearance of your lips right after treatment. If you are still not satisfied after the 2 week time period, the filler can be dissolved with the enzyme hyaluronidase. I would recommend following up with your provider after two weeks and talking to them about this option. I hope this helps, and best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.