Is It Normal That I Still Have Hard Lumps on my Lips More Than 1 Month After Injection? (photo)

The asymmetry and change in appearance of your lips is apparent.   Not sure about the lumps, but it is likely the filler material.  If you are unhappy with the result and it is indeed hyaluronic acid, the best initial approach in my opinion is massaging lumps to redistribute the product.

If this doesn't work, hyaluronidase (Vitrace) injection(s) will immediately cause resorption of the filler, and return to your pre-injection appearance.  If you just want certain areas softened, very low dose localized hyaluronidase followed by massage can be tried.

Hi there! Thanks for your query.
I wouldn’t typically expect there to still be lumps present 5 weeks after treatment. I would suggest booking a follow up appointment with your practitioner to discuss the possibility of correction or having the product dissolved.
Hope this helps!
Dr Rupert

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.

It is not normal to have hard lumps in your lips 1 month after injection with a hyaluronic acid (HA) filler.  A HA filler typically swells in the lips over a few days and then the lip will return to its "filled" state.  The filler will slowly re-absorb over 6-9 months.  The hard lump may be an area of concentrated filler.  I would first try to massage the area and "break up" the lump.

A wonderful property of HA fillers is that they can be easily removed with hyaluronidase or Vitrase.  A small amount of Vitrase can be injected and massaged into the lip, and it will dissolve the remaining filler in your lips.  You will be able to return your lips to their pre-injection state.  I would urge you to discuss your concerns with your doctor. 

Lumps can be present 4 months after lip injection but their significance varies depending upon the filler that was used. It is also important whether they are visible or not. It would be appropriate to be evaluated by the person who injected you.

Thank you for your question. It is not typical to have hard lumps in the lips 5 weeks after injection. This can be caused by trauma, bleeding or a superficial injection. If it is the product it can be dissolved with an enzyme known as hyaluronidase. I recommend having a follow up with your injector. Best of Luck!

Dear maarkb:

I empathise with your situation and feel your frustration.  I would suggest that you follow up with your physician and have the hard lumps injected with Hyluronidase to help dissolve the irregular lumps.  Best wishes.

Lumps in the lips following Juvederm injections can be caused by trauma, bleeding or too superficial of an injection.    Injecting the lips is technically challenging.  The goal is an aesthetically pleasing lip and not just a fat or sausage lip.  I usually inject in the white roll of the lip, this is the junction between the skin and the mucosal portion of the lip.  I usually do not inject in to the body of the lip as this can form lumps.  Vitrase or Wydase can be injected into these areas and will melt the Juvederm lumps in a day or so. 

Hard lumps in the lips 5 weeks after your injections is not likely to improve and is not typical. Swelling also does not typically last this long, nor does it usually manifest as hard lumps.  Bleeding inside the lips can sometimes cause soft lumps, but they also would have resolved within 2 weeks of the injections.  I recommend you follow up immediately with the physician who injected you and ask him/her about using hyaluronidase to dissolve the filler that was injected.  It is important that when undergoing cosmetic surgical treatments such as lip augmentation with filler that you see a board-certified dermatologist or facial plastic surgeon well-trained in fillers and lip augmentation so as to avoid any problems and achieve the results you are looking for.

Hard lumps in the lips that have persisted 5 months after your injection are not likely to improve. It is unlikely that swelling would persist this long. Because filler injections are an art as much as it is a science, it is especially important to remember that the experience and technique of your physician injector is the most critical part to your achieving a beautiful, natural result. I recommend you have it dissolved with hyaluronidase and start over with someone else.