2 months post op of Juvederm injection, I have bumps and swelling on my lips causing a swallow lips. Is this normal? (photos)

Question

I had juvederm injected in my lips 2 months ago . I Was happy with The results with the exception of some bumps in the upper lips . It wasn't noticeable but I could fill it. A week ago my lips blowed up like a ballon . I have major swelling in my lips . It gets better during the day but for reason I wake up very inflamed. My dr told me to take Medrol to see if the inflammation gets better. Is this normal ? Is this inflammation will ever go away ? Should I remove the juvederm ?

Martin Jugenburg, MD · Answer

Juvederm does draw water so a little swelling would be considered normal. From your pics your lips look very over filled . I would recommend having hyaluronidase injected to dissolve the the juvederm.

John J. Martin, Jr., MD · Answer

This is very unusual 2 months after the juvederm injection.  Did  you ever have something else put into the lip before - like Silicone?  If you had another substance in there, you may be getting a delayed allergic reaction.  You should have it removed with hyaluronidase.

Darryl J. Blinski, MD · Answer

The treatment is correct but Juvederm usually DOES NOT have a delayed ( 2 n=months after injection) swelling like this! Are you sure it was Juvederm injected????

Richard O. Gregory, MD · Answer

It would be helpful to see a picture of the lips after 1 month when most of the initial swelling had receded but before the current onset of swelling.  I would suggest treating it with the  injected enzyme hyaluronidase soon if the Medrol did not resolve the swelling.  Because scar tissue can form around the filler there is some urgency in treatment.

Pablo Prichard, MD · Answer

Thank you for your question. It is abnormal for to have swelling like that 2 months after Juvederm injections. You can give it some more time to see if it resolves itself, if not you can always have Hyaluronidase injected in the area to dissolve the product. Best Wishes,Pablo Prichard

Jeffrey M. Hartog, DMD, MD · Answer

It is unusual to develop a reaction to Juvederm, especially months after the injection, however Juvederm does absorb water and this could account for some of your swelling. This should get better with time, but if the Juvederm needs to be removed this can be done by dissolving it with a medication known as hyasluronidase.

2 months post op of Juvederm injection, I have bumps and swelling on my lips causing a swallow lips. Is this normal? (photos)

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