Are lumps and bumps post Juvederm normal? (photos)

Some lumps are not uncommon after injections, but they typically smooth out over 14 days from injection as swelling resolves.  Gentle massage of the area is sometimes helpful.  If they are still present after two weeks it may be the product was placed too superficially and can be dissolved with hyaluronidase.  Be sure to see an experienced injector for treatment.

I appreciate your question and photos and I agree that the lips look uneven. Lumps and bumps often occur after Juvederm injections and typically subside on their own within a week or two. Massage and ice may help with the swelling. If you are unhappy with your results in two weeks, you can schedule a follow-up with your injector to determine whether additional treatment is needed. If the results are not satisfactory, you can dissolve this filler with hyaluronidase. Make sure you always work with a board-certified dermatologist who is also an expert injector to ensure an optimal outcome with every treatment.

Some 'bumps' are often just needle injection points that swell a bit, but that doesn't look like the situation here.  What I don't like about this story is being told you needed another syringe because the filler ran out. Almost all experienced injectors will place the filler from side-to-side so you cannot run out with one side being significantly uneven.  

Hi and thank you for your question! Any painless lumps after filler injection can be swelling and during the first few days, it can be impossible to distinguish bumps due to filler from bumps due to swelling. We always advise patients to allow two weeks after filler injection for all the swelling to completely resolve and at that time if any bumps or unevenness are left, they can be fixed. I hope it helps and good luck! 

If you're feeling pain, you should follow up with your injector / physician. Or see an experienced cosmetic dermatologist to get a formal evaluation, resolve the issue, and develop a new treatment plan to address your acne scars. Best of luck, Dr. Emer