5 days after getting Juvederm, have lumps in lips. Should I massage my lips?

Question

I got my juvederm 5 days ago and after treatment the doctor informed me I would not need to massage my lips. I have a couple big lumps in my lips. Should I massage them even though she said not to? I’m seeing doctors recommend massaging them to get rid of the lumps

Alexander Rivkin, MD · Answer

Hello and thank you for your question.  It takes about two weeks for post-injection symptoms, such as swelling and bruising, to subside.  Swelling can often times be uneven and create bumps/lumps that will resolve on their own.  If you are not noticing them gradually smooth out, you can go back to your injector and have him/her dissolve it down with hyaluronidase.  Best of luck.

Jonathan Kulbersh, MD · Answer

Swelling and/or lumps can be typical. Icing, firm massage and cold compresses may give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Each injector has their own protocol to deal with lumps but small ones would not be uncommon 5 days after injection. Typically it takes 2-4 weeks (depending on product) for the lumps to dissipate and the lips look and feel more natural.  If the lumps are large you may want to apply gentle pressure to them between your thumb and forefinger but you have to rule out swelling as the cause of your appearance.  Hope this helps.

Jason Emer, MD · Answer

There can be some swelling and/or lumps after lip injections which can last 1-2 weeks. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer
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Monika Soni, MD · Answer

Possibly-best to follow up with your injector to be sure.  You may just have thick areas from bruising and/or swelling from the injection itself that has nothing to do with the filler OR you could have some larger filler deposits that would benefit from some massage.  The sooner you touch base with them the better so it can be addressed if needed.  Bruises and swelling should be improving each day and will resolve on their own.  Filler related lumps typically need massage and/or dissolving injection if they are obviously visible.  If you can just feel it and can't see it, this is less worrisome and will likely resolve.

Ariel Ostad, MD · Answer

It is always important to carefully follow the post procedure instructions. If it was not recommended to massage, please refrain from doing so. Your full results will be seen after 2 weeks. That being said, it is not uncommon to have small lumps post injections, and will resolve after 4 weeks. For optimal results, please see a board certified dermatologist with experience in cosmetic injections. Thank you for your question, best of luck!

Andy Shieh, DMD · Answer

I recommend my patient to massage their lips immediately after the injections.  Not massaging the lips may promote clotting, hyaluronic acid lumping, and will aid in blood flow.  If the lump persists to the feel, then it is not as bad as if the lump was visible.  Often my patients will feel lumps in their lips, but visually they can not see any lumps.  That's normal.  If you see the lumps, then that's not normal.

J. Michael Conkright, MD · Answer

This is a great question!  It is not uncommon to have small lumps after your treatment, however, do not massage the area.  Bruising, swelling and lumps are expected after this treatment, the best thing to do is leave it alone and let your body heal.

Megan Jack, MD · Answer

Possibly--best to follow up with your injector to be sure.  You may just have thick areas from bruising and/or swelling from the injection itself that has nothing to do with the filler OR you could have some larger filler deposits that would benefit from some massage.  The sooner you touch base with them the better so it can be addressed if needed.  Bruises and swelling should be improving each day and will resolve on their own.  Filler related lumps typically need massage and/or dissolving injection if they are obviously visible.  If you can just feel it and can't see it, this is less worrisome and will likely resolve.  Good luck!

Manav Bawa, MD, MRCS, MRCGP · Answer

Dear brandibrianne, thank you for your question. If lumps were to be present, they are normally there from the day of treatment, however once the swelling goes down, that’s when patients notice them.
I would certainly go back to your doctor and ask them to review it prior to any massage in yourself. Your doctor may be able to massage them whilst maintaining the shape in a safe way, or may have to dissolve some of the filler if required.

5 days after getting Juvederm, have lumps in lips. Should I massage my lips?

Answers (13)

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