Are lumps normal 3 months after Juvederm?

Question

I asked previously and wasn't quite clear, I had Juvaderm XC injected into N/L folds in November. I still feel where the material is located, and there is asymmetry on left side of my face (as if enough wasn't injected) possibly. I called the provider and asked for a follow up and was advised it wasn't needed. Should I see another physician? Are the lumps and blobs under the skin normal, they are hard, some days more prominent than others? Is this normal?

Randal Haworth, MD, FACS · Answer

If you’re experiencing asymmetry, feeling the material, and noticing lumps or blobs after Juvéderm XC injections, it’s important to address your concerns. While mild swelling and unevenness can occur initially, persistent issues may require attention.

Consider seeking a second opinion from another qualified physician or a different provider. They can assess your situation, provide an evaluation of the filler placement, and offer guidance on potential corrective measures.

Best of luck !

Milan Shah, MD · Answer

It's not uncommon to experience lumps or bumps after undergoing a dermal filler treatment like Juvederm. These lumps can occur for several reasons and are often a normal part of the healing process. Here are some potential explanations:1. Swelling and Bruising: In the immediate aftermath of the Juvederm injection, swelling and bruising are common. This can create a temporary unevenness that may feel like lumps. Swelling typically subsides within a few days to a couple of weeks.2. Product Distribution: The injector's technique and the distribution of the filler can impact the immediate appearance. Lumps may occur if the filler is unevenly distributed or if there is excess in one area.3. Product Type and Placement: Different types of Juvederm products are designed for specific areas of the face. The choice of product and its placement can affect how it settles and integrates into the surrounding tissues.4. Massage: In some cases, gentle massage of the treated area may be recommended by the injector to help even out the distribution of the filler.However, persistent or new lumps three months after the Juvederm injection may warrant further investigation. Here are some steps you can take:1. Follow-up with the Injector: Contact the healthcare professional who performed the Juvederm injection. They can assess the area, determine the cause of the lumps, and recommend appropriate steps.2. Assessment for Infection or Granulomas: In rare cases, lumps could be due to an infection or the formation of granulomas. If the lumps are associated with redness, pain, or other signs of infection, seek prompt medical attention.3. Patience: In many cases, lumps or irregularities may resolve on their own as the body adjusts to the filler. It's essential to allow adequate time for the filler to settle.Always consult with the injector before attempting any self-treatment. They can provide guidance based on a direct assessment of the situation and your individual medical history.

Are lumps normal 3 months after Juvederm?

Answers (2)