Massaging Lumps After Juvederm?

Typically massage at the 48-72 hour mark.  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.

Hi there!
Thank you for your query. The likelihood is this is some mild swelling after injection and can take up to 7-10 days to settle. Gentle massage can be carried out. After this period if you are still concerned I recommend contacting your practitioner for a review appointment where dissolving the filler can be discussed.
Hope this helps and good luck!
Best Wishes

I recommend you do not touch or massage the treated areas yourself. It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time. You can get hyaluronidase if the lump is product.

Initially your provider should massage if needed. Then allow a few days for swelling to go down.  If you see unevenness after the swelling is down call your provider and be seen for follow up.  Somethimes the lump can be massaged and smoothed out.  If not a small amount of Vitrase can be injected just into the lump and this should dissolve just the lump.  

Hello Rosie45, 
Thank you for your question. Lips can take up to two weeks to fully settle. If at two weeks you can still feel/see a lump then contact your treating practitioner. Generally Juvederm does integrate well into the tissues if injected into the right area and will normally settle. 
Wishing you all best

Thank you for your question! It’s not unusual for patients to have contour irregularities of their lips immediately following injections with Juvederm. In the vast majority of patients this is usually related to swelling and may take several weeks to resolve. Unfortunately in some cases, these lumps may be related to uneven injection of Juvederm. Under these circumstances, the lumps will have a characteristic appearance. They will be firm with a bluish transparent coloration. When this situation arises they can be removed by either perforating the skin and extracting the material or using the enzyme hyaluronidase to dissolve the material.If you’re concerned about uneven lips following Juvederm treatments, consultation with your surgeon is appropriate. Best of luck!

If you see or feel a lump with a filler (typically observed within the first 2 weeks), then I would definitely advise firmly massaging it or having your dermatologist do it for you. If the swelling or lump persisted after 2 weeks, then an injection of hylauronidase would be safe to do in trained hands and would dissolve the lump for you in most cases ; very rarely, the lump might need to be cut out.

Please leave your lips alone.  Swelling from injections of Juvederm can last 3 to 7 days.  If you have a purple bruise there, the swelling can last longer.  If it is still there after 2 weeks, return to your doctor for assessment.  The Juvederm bump can be dissolved if necessary.

I would not recommend massaging the lump as it may not be product. Occasionally, there may a little pooling of blood in the tissue – a hematoma – and massaging would only cause further inflammation. If the lump persists, follow up with your injector. If it is in fact product, it can easily be melted away without affecting the rest of your treatment. Also, most patients can palpate Juvederm after injection, as Juvederm attracts some water in the short term, which ultimately settles after a few days.

Without evaluating your lips in person it’s difficult to determine whether the bump you are feeling is the Juvederm product, or a resulting hematoma from the injection itself. It is common practice for the clinician to massage the area immediately following treatment to smooth irregularities and ensure ideal placement of the product. I instruct clients not to massage the treated area and to follow up with me if they notice any lumps or bumps. I recommend following up with the clinician who treated you so that a complete evaluation can be performed and the appropriate post care instructions be given.