Lumps after Volbella in lips (Photo)

Question

I got my lips filled with Vobella 10 days ago and I am noticing on my right side of my top lip some lumps. It is more noticeable when I smile as it hangs down a bit. Is this excess filler or is it still bruised that need to go away. This side of my lip is still somewhat sore.

Nelson Castillo, MD · Answer

Thank you for sharing your questions and photograph.  It appears that you have a combination of excess filler as well as swelling/bruising taking place to your upper lip.  I would allow at least another week to pass with gentle massaging of the lump.  If the areas have not fully smoothed over you can have hyaluronidase placed to dissolve any remaining lumps.

Jason Emer, MD · Answer

You may still have some swelling, which can last 1-2 weeks after your injections. 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

Kouros Azar, MD · Answer

Lumps and bumps are not unusual after lip augmentation with filler. Try to massage the area gently. This should help. Although be careful not to overdo it. If the lump doesn't dissipate over the next week or so then schedule an appointment to see your injector to have it assessed.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question mccalanni. I am sorry to hear about your situation. Volbella
is a hyaluronic acid filler designed to enhance the lips. Lumps and bumps are normal for the first 2 weeks. Gentle massage will help smoothen it out. I do not recommend that my patients apply firm pressure because this has led to movement of the product in some patients. Please
consult with a doctor for specific recommendations. Good luck!

Michael H. Gold, MD · Answer

Thanks for your question and photo and yes you can have swelling and lumps following the lip injections for up to two weeks after the procedure. Your provider should have told you this. We always recommend that you have these injections performed in the offices of a board certified dermatologist or plastic surgeon as we are the true experts in lip injections. If, at two weeks, you are not happy with the results, hyaluronidase can be injected to dissolve and remove the filler. Hopefully, with ice and gently massage, all will turn out fine for you.

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  The lips are a sensitive area, and it's not uncommon to experience swelling and bruising for up to two weeks after filler injections.  Lip fillers can also feel slightly firm after injection - typically as the fillers absorb water, they soften and blend into the surrounding tissue.  If you are still feeling lumps two weeks after your treatment, please follow-up with your injector.  He/she may be able to gently massage your filler to help it better blend in.  If this does not help, Volbella can easily be dissolved using hyaluronidase.  Best of luck!

Kevin Cavanaugh, MD · Answer

Hi,
Thanks for your question. Many times after injection of filler after the swelling dissipates small lumps/bumps can be noticed. This is quite common. I recommend you speak with your injector and he/she can massage the area to even out these lumps. If the areas cannot be massaged your injector can use hyaluronidase to dissolve the filler. Hope this helps. 
Kevin Cavanaugh, MD

Lumps after Volbella in lips (Photo)

Answers (7)

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