Filler in nasolabial folds is lumpy. Was it injected too superficially? (Photo)

Question

Got filler (don't know what kind) in my nasolabial folds and injector said it needs to be superficial but now it's very lumpy like little worms right under my skin. Fix main line but created a new one that's wide on one side. Suggestions on how to fix?

Nima Shemirani, MD · Answer

Hi @eelizabethv. Thank you for sharing your photo. I would recommend waiting two weeks for the product to settle in. If you are unhappy with the results after two weeks, you can dissolve the product with Hyaluronidase.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

Jason Emer, MD · Answer

I'm not sure when you had your injections, but it takes 1-2 weeks for final results with fillers. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. For nasolabial folds, I recommend fillers for the folds themselves and to provide anatomical support with Sculptra for collagen building. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Stephen Giordano, DO · Answer

After 3-5 days, you should no longer see any bumps and lumps although you may feel them.  It's ok if you feel them, but don't see them.  If you do see them, go back to your provider to have them evaluate and massage them out if necessary.  I wouldn't try to massage them yourself since you could lose too much volume.  In the end, it is likely this can be fixed easily so you are happy.   best of luck, Dr. Giordano

Michael S. Mall, MD · Answer

Thank you for the picture.  Give yourself about two weeks and ask your injector to use a solution called hyaluronidase to dissolve the excess filler.

Jean M. Casello, MD · Answer

You do not say how long ago you had the filler placed. There may be some swelling around the filler which may make it feel lumpy. A lot depends on what filler was used as well. Some fillers are meant to pull in water and soften over time. Others are "stiffer".   I would wait at least 2 weeks before retreating the area.  Gentle massage may help to soften the lumps.  After 2 weeks if you are still having problems I would contact the provider.  If an HA filler was used, it can be dissolved.

Robert Whitfield, MD · Answer

You can manage these areas.  If the production was injected superficially then it should be a HA product.   If the bumps remain they can be dissolved.

Filler in nasolabial folds is lumpy. Was it injected too superficially? (Photo)

Answers (6)

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