How to get rid of lumps in lip after Juvederm Ultra 1/2 syringe injection? (Photo)

Question

I had juvederm ultra (1/2 syringe) injected into my top lip 3 days ago by a technician. I can see and feel these hard pea size lumps and when I talk or smile it hangs down. What is this and how do I rid of them? Are there any techniques to massage (heard it's not recommended) this area to lessen the lumpiness look?

William Andrade, MD · Answer

Thanks for your inquiry.  I do find that these lumps will often lessen with massage so this is what I recommend to my patients if there is a small irregularity.

Arnold Almonte, DO · Answer

Massage is always the first step to help reduce lumpiness after fillers. You can be pretty aggressive in trying to mash the material into a smoother shape. If that doesn't work, your doctor can inject hyaluronidase to "melt" or dissolve the filler. That'll mean you will need re-injection of filler after a couple of weeks, once the tissue has healed. I hope this helps. I wish you the best!

Anil R. Shah, MD · Answer

Lip filler bumps is fairly common after filler.  The bumps can occur early on and many settle down.  Although massage after filler is considered a mainstay, beware that massage can drive the filler into another location if done too early.  
Reasons for bumps after filler:
Technique- Filler may have been used too superficially or wrong type of filler
Mouth movements- In some patients their movements can promote the accumulation of bumps and an alternative technique can be advocated.
Treating lip filler bumps:
Observation +/- massage-  Should be done for almost all lip filler bumps for 2 weeks.  For our patients we usually advocated massage after 48-72 hours to let the filler settle into place.
Reversal- A reversal agent can be used such as Vitrase to dissolve the filler if there is a large obvious persistent bump
Additional filler- An expert filler injector can used improved technique to mask the lip bumps.
The application of lip filler is very technical and should be done by an expert injector.

David J. Myers, MD · Answer

Massaging the area may help to break up the bumps.  This early after the procedure it may not be a permanent issue.  If they persist, I would return to the injector.  Hyaluronidase can be injected to dissolve the juvederm. For best results, always have a board certified dermatologist or plastic surgeon inject Juvederm.

Jamil Asaria, MD · Answer

Thank you for your question.I would certainly contact your injector to see if they may advise massage. At this early stage (within the first two weeks after injection) it could be the filler, but it could be swelling.At any rate, if it persists down the road, the options would be to massage some more, or to apply some hyaluronidase to dissolve the lump.

Monika Soni, MD · Answer

Thank you for your question. I recommend waiting another week and then having follow up visit with your injector for an evaluation. By two weeks all swelling should be resolved and the filler would have enough time to settle. If you require any touch ups this is appropriate time to have it done. Best of Luck!

Michele S. Green, MD · Answer

Juvederm is a great filler especially in the lips.  If you still feel a lump after several days please consult a dermatologist about having Vitrase injected into the area to dissolve the lump.  It is always best to consult a board certified dermatologist for the best cosmetic results.

Steven F. Weiner, MD · Answer

It is still early so massaging might help this problem. If not, hyaluronidase will dissolve it.

Steven Wallach, MD · Answer

If you recently and it done, sometimes you can massage the lumps to flatten/soften them.  If not, they can be dissolved with hyaluronidase.

Richard Ort, MD · Answer

I would likely give it a few more days.  If it persists, consider dissolving the filler with hyaluronidase injection.  You should go back to see your injector as soon as possible.  If they don't have hyaluronidase on hand, find another office.

How to get rid of lumps in lip after Juvederm Ultra 1/2 syringe injection? (Photo)

Answers (11)

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