Lips still lumpy; 8 months post Restylane injection (Photo)

I had my lips injected with Restylane silk 8 months ago. Immediately after they were lumpy and grey/blue in areas. I went back a week later and they hylenexed them. They were still lumpy so I went back the next week and they did it again. The lumps never went away and they said in 6 months the filler would be gone and they would be normal. Now it has been 8 and they are still lumpy. Are there any other options at this point?

Doctor Answers 7

Management for lumps following Restylane injections into the lips

Thank you for sharing your question. If you still have bumps following treatment with Restylane, see your injecting doctor for advice. You might require Hyaluronidase injections to dissolve the material. 
Good luck,

Bump from Fillers

I would return to your treating physician for Vitrase to dissolve the fillers in your lips.  Please keep us posted.  Best, Dr. Green

Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

If you have lumps they should be reversed and another technique or filler used to give more soft improvement.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 165 reviews

Lumpy lips

the type of filler you used likely will be gone within a year, but it's a bit variable.  If you have lumps that you do not like you should follow with your phyiscian, as their is a reversing agent, hylauonidase, that is easily employed to help diminish the amount of filler, and dissolve unwanted filler "lumps".

Rodney E. Schmelzer, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 4 reviews

Lip injecction

There are a number of possibilities but the most likely is persistent Restylane in the area and it was not injected smoothly.  it will go away but it may be another few months. Since you have had hyaluronidase twice I would not get it again.  wait until it all goes away and it will and then see a board certified dermatologist or plastic surgeon if you want it done again

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 6 reviews

Restylane lumps in lips

I'm sorry to hear you've been dealing with lumpy lips for 8 months. Typically by now the restylane should have fully resorbed and your lips returned to their original shape and feel. My guess is you may have some scar tissue that resulted from the injections. I suggest just massaging the lips daily and allowing more time to pass. Once they've settle a little more, then if you want fuller lips, I suggest talking to your plastic surgeon about lip implants. They're permanent and won't give you the lumps you get from injections of filler. That may be the best alternative for you. Good luck!

Arnold Almonte, DO
Roseville Plastic Surgeon
4.8 out of 5 stars 28 reviews

Swelling (late) from Fillers

There are a few possibilities but ask your injector to consider the following: Persitent brusing and swelling from the injections itself, persistent filler material, inflammatory nodules, granulomas and possible infection as a cause. Need an opinion from an expert injector. I would suggest to them consider injecting hyaluronidase or steroids into the area or possible surgical consultation if it doesn't resolve after some time. Might be worth starting an antibiotic to cover your basis but difficult to advice without seeing the patient in person and knowing what was injected. If it is persistent or you are worried, set up a follow up appointment with your dermatologist.

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.