I had Juvaderm, one syringe injected on marionette lines, from lip to lower part of my chin. I now have lumps. Is this normal?

Hello, and thank you for the question. In general, treatment with Juvederm may result in the following side effects: 1) Lumps or bumps2) Swelling3) Light bruising4) Redness around the injection siteLumps may be a result of swelling. They may also be a result of excess product or product injected too superficially. After 5 days, swelling can still be a factor. I would recommend giving it some time, as the swelling can last up to two weeks. If necessary, hyaluronidase can be used to dissolve any excess filler. I would recommend following up with your provider, as he/she knows the details of your treatment. I hope this helps, and I wish you the best of luck.  

Juvederm is very hydrophilic which means it attracts water after it is injected. For this reason it may swell more than some of the other fillers.  At 5 days you may still have some swelling and even some deep bruising from the injections.  You can do some gentle massage on the lumps which can often smooth them out.  If after a couple of weeks there is still a lump you can have it removed with some hyaluronidase.  I would only do that if the lump is visible.  Many patients may have lumps they can feel but you can't see them.  In those cases, no need to have the filler removed.     

Swelling is a common side effect of fillers. You may be experiencing some swelling, this can take 2 weeks to subside. If the bumps are product a gentle massage can be performed to help soften the area. If after 2-3 weeks the "lumps" remain you may want to consider visiting the clinic. At this appointment you can discuss your options. One option would be to have the product dissolved with a hyaluronidase injection.

Hello. Thank you for your question. It is normal to have swelling and lumps for up to 2 weeks after filler. I would not worry about the lumps or swelling at this point. As the swelling goes down they should even out. I would recommend giving them a full 2 weeks to settle in completely. If you are still unhappy at 2 weeks, call your injector to discuss your options. You can always dissolve the filler with a product called hylauronidase if needed. you could massage the lumps lightly several times a day to help even them out. Good luck!

5 days post treatment. Yes it is normal to have some swelling and possible lumps and even bruising. Juvederm is a hydrophilic once injected it does attract water which in turn causes the reactions. You can lightly massage the bumps to help soften and smooth them. If after 2 weeks the bumps are still a concern, seek consultation with your attending physician. He can assess the area and if he or she needs to treat the area with hyaluronidase.

Hello,Five days is still early and it does not sound like something that you need to worry too much about.  You should call the facility where you had the injection for their suggestions. You can always send a photo.  Gentle massage can still smooth out small lumps.  Best of luck. 

Swelling and lumps can occur shortly after injection of dermal fillers, like Juvederm, especially within a 5 day window. If the lumps are present, massage can help. After about 2 weeks, if you're still not happy with your appearance the lumps can be removed with Hyaluronidase injections. Thank you for sharing your question and concerns. Best wishes.