Lip fillers dissolved 2 wks ago & have a raised bubble lighter than the border & border indented. (Photo)

Question

Residual filler? Granuloma? Fordyce spots? If I peel up lip & look VERY closely at bottom of bubble can see tiny white spots that look like fordyce? Also is indentation at the top border and darker color scar tissue, or loss of natural collagen due to the dissolving? Am worried about continuing to dissolve given what I've read. I sent a pic of bubble to my injector and she said it was "normal" & would go away. I have plans to get refilled in the coming weeks but not sure what to do. Thank u

Raffy Karamanoukian, MD, FACS · Answer

Hylenex injections can reverse fillers in the lips. The bubble may be a salivary cyst or a filler. Superficial injection technique can help resolve the issue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi Charlotte! The irregularity at the lip border could be any of the things you mentioned. Most commonly, it is filler that collects in the area. Or, it could be inflammation. I have my patients monitor and massage the area for 2-3 weeks to see if improvement is made. If not, it becomes a decision of waiting longer for resolution or using steroids or more hyaluronidase to reduce the hump. I would revisit with your injector to see what may be best. Hope that helps!

Darryl J. Blinski, MD · Answer

Based on the posted photos I would wait fir 30 days to see if this "bubble" dissolves. If it does not add additional HA dissolver and keep waiting another month. If nothing improves only surgical excision can improve. Best to see PS.

Lip fillers dissolved 2 wks ago & have a raised bubble lighter than the border & border indented. (Photo)

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Answers (3)

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