Uneven lumpy lips after 1ml Juvederm - visible when I smile or stretch lips. Is it permanent or just swelling? (photo)

Question

I had my lips done 4 days ago for the first time with 1ml Juvederm. I've seen some extraordinary lips on other girls made by the plastic surgeon that injected me - what's why I chose him. I'm worried about the lumps in my lips - the first 2 days I could feel them from the inside with my tongue but weren't visible from the outside probably because of the overall swelling. Your opinions are highly appreciated! Many thanks in advance!

Young R. Cho, MD, PhD · Answer

Sorry to hear that you have lumps in your lips.  Typically, if during the injection lips look fine and and don't feel lumpy, then this is how things will revert to afterwards.  It is common for the lips to swell and this can definitely be asymmetric.  If the lumpiness persists, then I would revisit with your plastic surgeon who can assess whether any hyaluronidase is needed to break down the product to help you achieve your goals. From your picture, it does appear like you have a small bruises and this could definitely result in the lumpy sensation.

Kevin G. Rose, MD · Answer

You could still have swelling at this point.  You should give it more time, if you still feel that you have lumps after 7-10 days be sure to see your surgeon.

James R. Gordon, MD, FACS, FAAO · Answer

It is much too early to determine the outcome of your treatment. Juvederm injections into the lips often cause swelling. Massaging and cold compresses might be of some benefit. Wait 1 week before considering dissolving with Hyaluronidase.

Kristin M. Baird, MD · Answer

You still have swelling in your lips since it has only been 4 days since your treatment. It is difficult to evaluate your final result until the swelling has resolved. Sometimes small lumps of filler can be massaged and flattened if the lumps do not resolve on their own. I would wait about 10 days to assess your final result and then return to your physician if you still have concerns. Best wishes.

Darryl J. Blinski, MD · Answer

ONLY 4 days!!!! Allow at least 10 day than decide if you need a dissolver injected (costs $500).......

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Answer: Has my chin implant shifted? It's visible in pictures and real life. Still feeling very tight and numb. Is this normal?

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