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

Question

Hello. I'm kind of very desperate. I got lip injections about 5 weeks ago and it got VERY swollen and I look like a deformed duck now. The initial swelling has gone down quite a lot but my lips are now very assymetrical. The top lip has a bigger side and the lower lip looks like a sausage. I can feel hard lumps in my lips. It is swelling or is it a gross filling job? The lady said it was pure hyaluronic acid is that possible? Thank you very much.

Steve Laverson, MD, FACS · Answer

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.

Rupert Critchley, MD, MRCGP · Answer

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

Anil R. Shah, MD · Answer

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.

Jonathan Kulbersh, MD · Answer

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.

David K. Funt, MD · Answer

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.

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

Answers (10)

Answer: Hard Lumps after 1 month are not normal

Answer: Hard Lumps after 1 month are not normal

Answer: Lumps on your lips post injection

Answer: Lumps on your lips post injection

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Everything you need to know about Lip Fillers

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

Answers (10)

Answer: Hard Lumps after 1 month are not normal

Answer: Hard Lumps after 1 month are not normal

Answer: Lumps on your lips post injection

Answer: Lumps on your lips post injection

Browse related questions

Recommended reading

Everything you need to know about Lip Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.