What is the Best Way to Dissolve Lumps Without Reducing my Achieved Lip Volume?

The injector should consider using discrete amounts of reversal agent such as Vitrase to locally reduce the bump.

Lumps in the lips following Juvederm injections can be caused by trauma, bleeding or too superficial of an injection.    Injecting the lips is technically challenging.  The goal is an aesthetically pleasing lip and not just a fat or sausage lip.  I usually inject in the white roll of the lip, this is the junction between the skin and the mucosal portion of the lip.  I usually do not inject in to the body of the lip as this can form lumps. Small lumps may just be from the needle trauma.  Vitrase or Wydase can be injected into these areas and will melt the Juvederm lumps in a day or so.

The best way to prevent lumps in the lips is to select a physician with experience in treating the lips so it does not happen.  I use a special technique that makes Restylane and Juvederm very smooth and essentially bump free after injections. If it has already happened, a small amount of enzyme can be injected to dissolve the bump, it can be massaged down or even a small nick can be made it the skin and have the bump expressed out.  Look for the "Expert Injector" credential for any physician that you allow to treat your lips to minimize these undesirable consequences.

Dr. Crutchfield

 

If the filler is Hyaluronic acis then it can be disolved, any other filler can not be disolved and may need surgery.

If it is Hyaluronic acid the injection of halurinidase will disolve the lmps and the rest of the the hyluronic acis and you have to start from the begining.

Hopefully a hyaluronic acid filler such as Juvederm or Restylane was used for your lip injections. If so, there are several possible treatment options. Your physician can make a puncture wound into the lump with a small needle and sometimes the material can simply be expressed. If not, small amounts of hyaluronidase can be injected to attempt to remove some of the filler without removing all of it. Going slowly is the key and even then it might all wind up being removed. But then you can start over. Please remember, your results depend upon the skill and experience of your physician injector!