Had lip filler 3 days ago. I have hard lumps and an uneven duck mouth. Is this normal? (Photo)

Question

I had lip filler to my top lip to contour and fill on 8th October it's now 11th is this normal result I have 3 hard lumps under my top lip and feel that they are not even. Is this normal. Do I need my bottom lip filled also. My Dr told me to massage the area daily also. I still have a duck mouth and beginning to regret having this procedure Thanks

Parker A. Velargo, MD, FACS · Answer

I'm sorry to hear you are anxious about your results.  Post-injection instructions vary from physician to physician.  I don't like my patients massaging lips because it will displace the filler from where I want it to be.  At this time, you have some swelling from the procedure, and I would advise you to not evaluate the results of your injection at this stage.  Give it 2-3 weeks for the swelling to go down.  I do agree that with your lip in this slightly swollen state, you need some filler in the lower lip for balance, but once the swelling goes down, things may be in better harmony.  If at 2-3 weeks you absolutely hate the way the top lip looks, then you can ask your physician to dissolve the product with hyaluronidase -- I don't think this will be necessary though.  I wish you well!

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.

Michele S. Green, MD · Answer

Lip Augmentation is a simple and effective way of restoring or adding lost volume in the lips.  If you feel that it is uneven or have lumps I would wait a week to ten days after your injections to evaluate.  If there still seems to be a problem you should return to your treating physician.  For the best cosmetic results please consult a board certified dermatologist with experience in facial cosmetic injections.

Gregory Park, MD - Account Suspended · Answer

Massage can be helpful in smoothing out uneven areas in the lips. It will take about 2 weeks for the swelling to completely resolve. If you are still unhappy with the results at that time, you can alway have some of the filler removed with Hyaluronidase if a hyaluronic acid was used for your filler. Thank you for sharing your photo and concerns. Best wishes.

Had lip filler 3 days ago. I have hard lumps and an uneven duck mouth. Is this normal? (Photo)

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