I'm feeling anxious as this is my first time ever doing any sort of filler. Anyone else have results like these? (Photos)

I had half a syringe of juvederm injected on July 25th. I had to go back the 26th, today the 27th and they want me back again tomorrow. They have been trying to smooth them but the swell up right away and I have lots of bruising. The technician at the clinic who says it should resolve in 2 weeks but if not they will have to dissolve it.

Doctor Answers 9

Lumps, swelling, and bruising after Juvederm

Thank you for your question AnnaCnd. Juvederm is a product that can be used to enhance the lips. Any time a filler is injected into the skin, patients may have a lumpy bumpy appearance or feeling in the area. For my patients, I recommend gently massaging the area for 5 minutes at a time, 5 times per day, for the first 5 days. This will smoothen out the material and make it look and feel better. Bruising and swelling can last up to two weeks. I have my patients follow up at that time to assess the final results. Please follow up with your doctor for specific recommendations. Good luck!


Encino Physician
5.0 out of 5 stars 1 review

Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

It takes roughly 2 weeks to see the final outcome, I suggest waiting to see the final result. This can always be reversed or reinjected later. Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 168 reviews

Final Result After Juvederm

Thank you for your question and for sharing your photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Swelling and bruising after Juvederm injection is normal, especially in the lips.  Please keep in mind that it will take 2 weeks to allow for normal postprocedure swelling and bruising to resolve and to see your final result.  Icing can help for up to 48 hours postprocedure.  Arnica is beneficial for minimizing postprocedure swelling and bruising.  If you continue to have any concerns at 2 weeks postprocedure, please be sure to see an experienced injector for an in-person reevaluation to fully address your concerns and to determine the best course of action.  Hope this helps and best wishes!

Lumps in Lips After Filler

It's still way to early to tell the final result. Swelling, lumps, and bruising are all very common after filler injection to the lips. It can take 2 weeks to fully resolve and for the filler to settle in. The best thing to do is leave it alone until then. I would not recommend having non-physicians injecting filler into your lips. Its not a straightforward injection for those without experience. 

Michael A. Zadeh, MD, FACS
Sherman Oaks General Surgeon
5.0 out of 5 stars 9 reviews

Juvederm Lumps

Lumpiness after Juvederm, especially in the lips, is not only common but should be expected.  It will resolve spontaneously over the next 2-3 wks.  The lumpiness can be from the Juvederm material and as it equilibrates in the tissue it will become much softer.  Bruising can also contribute to the lumpiness and this will be reabsorb by the body.  In either case the symptoms will resolve.  I won't massage the lips as this will only increase the swelling. You mention dissolving the Juvederm.  I don't think that will be necessary but it is nice to know that there is that option if needed.

Juvederm in lips

Stop getting massage on the lips.  IF you have some bruising you will have some lumps.  These will go away.  Massaging will just prolong the inflammation.  They look pretty good today.  So should look even better in a few days.  Not sure why they keep seeing  you back.  

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
5.0 out of 5 stars 25 reviews

Hang in there, it will improve!

This can be a completely normal reaction to lip injections. By the time I answer this question you have probably already seen an improvement! Be patient, and all of the swelling and bruising should settle down and you will love your lips! I always tell patients not to panic the first week after injection. It can look awful, but it will improve and it will be worth it!

Jenny Weyler, MD
Worcester Physician
5.0 out of 5 stars 4 reviews

Lumps in lips after Juvederm

I sense that this is an inexperienced injector. I never hear of going back to the office 3 days in a row for lumps after filler. Let things settle for 10 days. If still not happy, get dissolved and move onto another injector. Please see my link.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

Swelling after lip augmentation

Hello, and thanks for your question and photos.Swelling and bruising are relatively common after lip augmentation with filler. I suggest giving it a couple of weeks to allow this to resolve before assessing your final response. If you're still not pleased with the result, you can have the product dissolved. Best, Dr. Frucht.

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 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.