I got Juvederm lip injection a week ago. The filler shifted above my upper lip and created a bump. Will it settle down?
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Doctor Answers 7
Swelling/Bruising/Lumpiness (early) from Fillers
I always tell my patients to not love their filler injections for 2 weeks. Swelling is very common and sometimes immediate. It can last 3-7 days and a good idea is to use cold compresses. Cold compresses may be used immediately after treatment to reduce swelling only if needed. This may be applied for 3 minutes, 3 times per day, for up to 3 days. This is best done with a bag of peas in a zip lock bag. Only apply light pressure to the area but gentle massage might be necessary if the bump is from the filler material itself. Get Arnica gel if you can find some and apply a few times a day as well to help treat any swelling. Avoid any blood thinners. Bruising can also last 1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks until the swelling has resolved. If it is persistent or you are worried, set up a follow up appointment with your dermatologist.
Go see your doctor
Lip Injection and "bump"
The lips are a sensitive area and it is possible that you bruised or too much product was placed in one area. This swelling should resolve in 10 days and I would ice and do gentle massage. If the bump does not go away then I would return to your treating physician for Vitrase to dissolve the area.
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It seems to me that the filler was placed too superficial into your upper lip and now is filling the cupids bow (upper skin from your lip).
The solution has to be done stepwise with the direction of your board certified plastic surgeon.
He might recommend diffusing the filler with accurate massage to the area. Based on the effectiveness of this maneuver, the next step could be and injection that will melt down the filler. The only problem is that the accuracy of this injection is unpredictable.
If the filler that you got injected is temporary, time will always be in your side to resolve the problem.
Finally, make sure that your doctor is aware of your process. He should be able to guide you best in your care.
Wishing you the best with your journey
Bump after Juvederm-Will it settle down?
The simple answer to your question is that a week after treatment is enough time for it to settle. I typically suggest to my clients that it may take up to 5 days for the product to settle and provide a more refined result. That being said, it depends! If you are concerned or uncomfortable with the result, I would return for evaluation.
There are 3 different formulations of Juvederm. Each has a different particle size. They are called Juvederm Ultra, Juvederm Ultra Plus and Juvederm Voluma. Most physicians would either use Juvederm Ultra or Juvederm Ultra Plus in the nasolabial fold area. The Juvederm Voluma is approved for use in the cheeks.
These hyaluronic acid fillers do have the ability to migrate a little after injection. This usually settles in 3-5 days. Edema or swelling should also resolve within 5 days of treatment. I usually find that if it is there at a week, it will be there at 2 weeks and is less likely to settle much more.
There is a medication that can be injected into the bump or fullness to help resolve this situation. It is called hyaluronidase. Any quality injector of Juvederm products should have this available in case of an unwanted result. Once the hyaluronidase is injected, I find the bump is likely to resolve within a day or so.
(Your pictures had not been uploaded at the time I reviewed your question.)
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.