I had Juverderm injected in my lips on Saturday (today is Tuesday) and I have a noticeable lump on the inside of my upper lip. I have begun massaging it (didn't want to earlier as my lips were swollen/puffy), but do not yet see a difference. 1. Will it take awhile to go down with massage, or should I see a difference immediately? 2. If I get vitrase, will it dissolve all the juvederm, or just the lump?
Answer
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.
Dr. Anil R. Shah, MD
Board Certified Plastic Surgeon
Answer
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
Dr. Rupert Critchley, MD, MRCGP
Board Certified Plastic Surgeon
Answer
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.
Dr. Jerome Edelstein, MD
Board Certified Plastic Surgeon
Answer
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.
Dr. Sam Naficy, MD, FACS
Board Certified Plastic Surgeon
Answer
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