2-1/2 weeks post injections into nasolabial folds: 1-/2” lump near nostril, lumps at mouth corners, along chin line, hardness along folds. 1 week appt. Dr. said lumps are normal, people have asymmetrical faces but I look good." Isn't lumpiness filler that should smooth & correcti? She stressed “product” cost to the practice – "fillers are not free", “there is an expense incurred for the product”. She said she was sorry for my disappointment, "we want you to be satisfied”, "good luck" & left
Answer
Hello, and thank you for the question. I am sorry to hear you are not satisfied with your result at this time. Lumps after Juvederm treatment can be due to excess product or swelling. It can generally take about two weeks for the final results of the injections to be evident. Technique is a factor here as well; lumps can potentially occur if the product is injected too superficially. Once 2 weeks has passed and the final result is evident, hyaluronidase can be used to dissolve any unwanted filler if necessary. I would recommend following up with your provider regarding this option, as he/she knows the details of your treatment and will be able to advise you. I hope this information helps, and I wish you the best of luck.
Dr. Paul S. Nassif, MD
Board Certified Plastic Surgeon
Answer
Thank you for your question and I am sorry to hear about your filler issues. Small lumps and bumps can occur with filler placement and they tend to soften or resolve within 2-4 weeks of injection. I would allow another week to week and a half to pass to see if the lumps improve. If they do not your injector should be willing to correct your results by dissolving the filler material.
Dr. Nelson Castillo, MD
Board Certified Plastic Surgeon
Answer
When coming in for any cosmetic procedure it is very important for the patient to leave happy with their results.You should be able to feel the product to your touch, but the area should not be lumpy and hard. You should follow up with your provider and if it is product they can dissolve the filler with hyalaronidase.
Answer
A photo would be helpful here. The important question is - are you feeling bumps (normal and may gradually improve more) or are you seeing them (a problem after 2 1/2 weeks which may require Hyaluronidase to treat)? If you are not happy with how you look, consult your doctor about dissolving the bumpy filler. If you can't get satisfaction from the doctor who did the injection, see another (get a second opinion).
Answer
Please post photos of the injections. There are times that you may "feel" the product but it should not look lumpy after 2 weeks. If you do not like the way that it looks you should consult your dermatologist about Vitrase and dissolving the product. An in office consultation is really the only way to assess the situation. Best, Dr. Green
