Bump above lip (under nose). Is this filler? (Photo)

Question

There is a bump above my lip that didn't go away. It hasn't changed in size and I'm thinking it's filler? Just wondering if I get it dissolved, is there was a chance it would go down into my lip and dissolve the filler there too.

Falguni Patel, MD, FACOG · Answer

hi!

It is possible that it is filler, but it would probably present differently if it was migration from your lip filler- almost as a mustache rather than a single bump. Was product injected above the lip for any reason? Certain fillers can cause something called granulomas, which are essentially hard balls of product which requiring dissolving if present.  If you choose to dissolve, yes it is possible that some of the dissolving agent would travel down to the lip and dissolve the filler. If your injector injects directly into the lump and the lump shrinks, as dissolving agents such as hylenex are immediate, then you know its filler. If some of your lip gets dissolved, you can touch it up but it is important to wait 2 weeks after your dissolving session to refill your lips so that all of the dissolving agent can work its way out of the area.

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for your question regarding the bump above your lip. Here’s some information that might help you understand what it could be and how to address it:

Possible Causes:
The bump could indeed be due to dermal filler, especially if you have had filler injections in the area recently. Fillers can sometimes migrate or form small lumps.
Other possibilities include cysts, scar tissue, or other benign skin conditions.

Consultation and Diagnosis:
It is important to consult with a qualified dermatologist or the practitioner who administered the filler to assess the bump. They can determine if it is indeed related to the filler or if there is another underlying cause.

Treatment Options:
If the bump is confirmed to be filler, hyaluronidase can be used to dissolve hyaluronic acid-based fillers. This enzyme specifically targets the filler material.
An experienced practitioner can carefully administer hyaluronidase to minimize the risk of affecting filler in other areas, such as your lips.

Considerations:
Discuss your concerns about the potential spread of the dissolving enzyme with your practitioner. They can tailor the treatment to focus on the bump while preserving the desired results in your lips.
Ensure the procedure is performed by a professional experienced in using hyaluronidase to manage filler complications.

Follow-Up Care:
After treatment, follow any aftercare instructions provided by your practitioner to ensure optimal healing and results.
Regular follow-ups can help monitor the area and address any additional concerns you might have.

Best regards,

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