Lip Fillers: bumps from Juvederm Ultra Plus, am I botched? (Photos)

Question

This is my second time having fillers, first appt I had half ml and second appt a full ml. I saw two different PS, 2nd doc was obviously more experienced & professional. 1 month post appt I wanted more fullness. Second doctor noticed my face slants slightly so she put most of the syringe in the upper right and lower left of lips to even out. Bumps have formed where the filler is. I am 3 days post op. What can I do? Will massaging help? Should I call their office? Am I botched?

Michael A. Zadeh, MD, FACS · Answer

It's still too early to tell what your final results will be. You need to give it 2 weeks for the swelling to go down and the filler to settle in. You can try massaging any discrete lumps to soften them up. Juvederm Ultra Plus is a bulkier filler. When used in the lips it takes skill to be able to inject it in such a way to prevent bumps from forming. If you're still unhappy after 2 weeks then you can have the filler dissolved with Hyaluronidase. Best wishes.

Camille Cash, MD · Answer

Your final results can take up to two weeks to be realized due to swelling from the injection.  You can massage the area gently to try to soften the lumps.  If after two weeks you still have concerns, return to your injector for an evaluation.

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. There can be some swelling and/or lumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs.  Because the lumps appear to be in the areas of larger filler placement they may be the result of swelling which will dissipate and improve over the next two weeks.   You can help this process along with cold compresses, sleeping with your head elevated, and supplementing with arnica montana and bromelain.  If the masses are firmer, it may be the filler alone which should soften and improve over the next two weeks as well.  Hang in there, given enough time the appropriate diagnosis can be made and treatment offered.

Adair Blackledge, MD · Answer

start 
Start massaging immediately.  You're not botched but it's going to take a lot of massaging on your part to get your lips smooth.  Remember there are also injectables that reverse Juvederm if the massaging doesn't help!

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Lip Fillers: bumps from Juvederm Ultra Plus, am I botched? (Photos)

Answers (8)

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