Dissolving lip filler bumps - If hyaluronidase is injected to dissolve the filler will it dissolve my natural lips too? (photo)

Question

I had Juvederm in lips done about 2 weeks ago. There are hard bumps in the middle of my lower lip on three spots where the doctor injected the filler. Also there is slight unevenness on the upper lip but it’s doesn’t feel hard and also not visible unless it’s touched. If hyaluronidase is injected to dissolve the filler will it dissolve my natural lips too? Is there any danger like forming of pockets or permanent bumps if I wait for a few more months to dissolve the filler?

Raffy Karamanoukian, MD, FACS · Answer

Hylauronidase has many advantages and should be considered in patients who are unhappy with their results or in acute cases of overfilling or occlusion. Its often better to reverse filler and restart then to deal with long term edema. Filler migration and permanence is a very common problem because there are many different types of HA fillers on the market and each is specified for a specific part of the face. Use of highly cohesive fillers on thin skin may cause swelling and nodularity. If patients have filler migration or nodules, we recommend a combination approach of filler reversal with enzymes Hylenex and Hyaluronidase in different strengths to dissolve the filler. We may also need to add Kenalog to the mix in order to reduce fibrous tissue. If the filler does not dissolve, it either means the filler is not HA material or we need more enzyme. The HA reversal can be combined with other lasers and skin treatments at the same time, and it usually (usually) does not affect adjacent tissue.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Anteneh Roba, MD · Answer

Hyaluronidase put in the right place at the right amount should not cause any problems. I would not worry about that.

Jeffrey Joseph, MD, FACS · Answer

Thanks for the question.  Before dissolving your filler, try gentle massage over the next week or so.  This may soften the hard lumps you feel, and may help reduce them.  If you still want to dissolve the filler, using hyaluronidase can be used safely with no ill effects on your lip tissues.

Tonya Boudreaux, MD · Answer

Hello, thank you for the question and photos.
No, dissolver will NOT dissolve your natural lips.. It will only dissolve the hyaluronic acid filler that was injected into the lips. Your lips should go back to their natural size and shape.
Best of luck!

Shaun Patel, MD · Answer

Hyaluronidase can be safely used to dissolve the Juvederm that was injected. It should have not long term consequences on your lips. In the short term (days only), some of your own HA maybe reduced but the body will reproduce it very quickly.

Dissolving lip filler bumps - If hyaluronidase is injected to dissolve the filler will it dissolve my natural lips too? (photo)

Answers (5)

Answer: Dissolver

Answer: Dissolver

Answer: Dissolving lip filler

Answer: Dissolving lip filler

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Dissolving lip filler bumps - If hyaluronidase is injected to dissolve the filler will it dissolve my natural lips too? (photo)

Answers (5)

Answer: Dissolver

Answer: Dissolver

Answer: Dissolving lip filler

Answer: Dissolving lip filler

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Recommended reading

Everything you need to know about Hyaluronidase

Our mission is to create a world where every investment in modern beauty is Worth It.