I Massaged Lumps in Lower Lip from Juvederm Now my Lip is Huge. Why?

Roughly two weeks ago i had juvederm injected in both my upper and bottom lips. Since then I had problems with my upper lip.. one side was bigger than the other so I got hyduronidase injected.. which corrected the problem. Yesterday I was massaging my bottom lip because I had two lumps on either side.. and somehow the right side blew up. It is so much bigger than the left side. I don't know what happened. All I was doing was massaging the lumps. The doc won't see me for a week. HELP

Doctor Answers 8

I Massaged Lumps in Lower Lip from Juvederm Now my Lip is Huge. Why

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Thank you for your question.  I would advise not to massage the area injected, esp the lips, because it may cause bruising and swelling.  Discuss spur concerns with your injector and try to be seen earlier. 

See your injector

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I recommend that you do not massage the filler as you do not want to press too hard and/or move the filler into the wrong place. Lumps and bumps usually resolve on their own, once the filler starts to get incorporated with your own skin tissue. Massage should be done by your injector. It would be best if you book a follow up appointment with your injector to see what has happened.

Swollen lip after massaging lumps from Juvederm

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Swelling can be normal after massaging.  Since you were in to see your doctor and had hyaluronidase injected on one side, it is possible for you to have lost the volume on the bottom lip as well, as hyaluronidase travels.  I would encourage you to allow the injected site time to settle and smooth out and then see your doctor for your scheduled follow up appointment so that he can decide what the next treatment option would be.  In the meantime, ice your lips which will help reduce any swelling.

Timothy Jochen, MD
Palm Springs Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

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Swollen lips after massaging

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Being that the product was injected two weeks prior, it is most likely that you are now experiencing swelling from vigorous massaging of the lips.  Massaging lumps two weeks after the initial injection treatment will generally not help (hence why you were given Vitrase for dissolving product) and only further aggravates the area which is why you developed swelling after massaging.

Try cold compresses intermittently for 24 hours until you are able to be seen by your doctor or his/her staff.


Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

I Massaged Lumps in Lower Lip from Juvederm Now my Lip is Huge. Why?

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Sounds like an over injection with a reaction. But no photos posted so very hard to advise. Seek in person second opinion. 

Lip augmentation and fillers

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Give it some time to settle a bit. Lips can get very swollen from the fillers and it may take a few weeks to relax a bit.  If you are unahppy with the fullness at that time or complain of lumps, sometimes hyaluronidase can dissolve it.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Juvederm and swollen lip

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You might want to stop massaging the area and see what happens. The massage might be causing swelling and by this time you will not change the final result with massage. Go back and see what your doctor says. 

Jo Herzog, MD
Birmingham Dermatologist
4.8 out of 5 stars 20 reviews

Lip swelling?

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#1 keep your 1 week appointment with your doc. Let's hope the swelling is just the trauma and will get better with time and ice. If some of the Juvederm was dislodged to the right side you will need the Hylaronidase injection to reduce the fullness. You could also ask your doc's staff to call if there are any cancellations so you can get in sooner.

Ann Lott, MD (retired)
Lincoln Dermatologist

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.