Lumpy lips 1 month after Juvederm Ultra Plus was placed in lips. Why does it look this way? (photos)

Hi there. I agree that your filler looks lumpy. This appears to be due to technique and subopitmal placement. There seems to be areas of filler close to the wet part of the lip (mucous membrane) that is causing this appearance. Juvederm Ultra Plus is firm. I don't think massage will be helpful at this point especially being that you are now several weeks out, however, it may be worth trying for a few days. If any of my patients were to have a result they did not like, I would certainly dissolve the filler at no cost ( unless the patient in question is a Carolina fan...:) JK!). Thus, I think your request is very reasonable, but different practices/doctors may have different policies/protocols. Wishing you well from here in the Triangle. Go Duke.

I'm sorry that you are distressed by the lumps that have developed in your lips. It is easy for providers to say "no-one will notice"... Fact is, if the patient [you] notice, then it's a big deal. [At least that is my opinion and belief.]
Lumps, bumps, granuloma's are listed in my consent form for all filler injections. That said, there are certain products that I use in certain locations to alleviate this potential complication. I am not a huge fan of Juvederm Ultra Plus in lips because of this exact reason. 
Every hyaluronic acid filler is made up of little "balls" of hyaluronic, the "size" and "firmness" of these balls varies depending on the filler. Juvederm Ultra plus is made up of balls that are a little too big and firm for most lips, so I am not surprised by the lumpiness. 
I will not say that I have never used Juvederm Ultra Plus in lips. Rather, I will say that I am very selective on whose lips this product can be used in. For some people, it is a nice product to create natural looking "pillows". 
I would ask your provider to inject the lumps with some hyaluronidase [a product that breaks down the filler] in very small doses. He/she may be able to just treat the lumps without having you go through the process of multiple injections to fully dissolve the filler followed by re-injection.  Each time you put a needle into the body there is a risk for bruising, so I like to keep the number of needle pokes to the least number possible, hence the recommendation to inject just the 'lumpy parts".
I hope this is helpful and you end up getting the lips you deserve.