Could Hardness and Lumps from Juvederm Ultra Plus Be Permanent?

Any lumps that are present following a treatment with Juvederm Ultra Plus are not permanent. The filler is temporary, and will last between 6 and 12 months depending on the patient and the location of the injections. Lumps can be due to:

1) Swelling
2) The product itself

After 5 months, your swelling is gone, so you can rule that out. When used properly, hylauronidase should dissolve 100% of any remaining product. It is difficult to give you precise advice without knowing more about your treatment, how much product was used, and where exactly it was injected. Did a board certified physician perform your treatment with Juvederm Ultra Plus? If you are not getting results with the hyaluronidase, it may be necessary to obtain a second opinion. It could be residual product, but only an exam can tell. Good luck!

Hyaluronidase should completely dissolve any Juvederm that is present. I would recommend following up with your physician, as he/she will be able to examine you in person and help determine the cause of the lumps. I hope this helps, and I wish you the best of luck.

   Sometimes granuloma development occurs and responds less impressively to hyaluronidase.  However, the hyaluronidase can help with these chronic issues.  Steroids may help to soften the tissues.   Tincture of time cannot be excluded here wither.  There are other options that can be tried later as well, including excision.  Kenneth Hughes, MD Los Angeles, CA