Bluish lip filler bumps: was my filler injected too close to the surface? (Photos)

Question

I got my lips done a week ago today and a bump appeared whilst she was doing the filler, my doctor told my it was just bruising and it should go down... now that the swelling has gone down I can see a lot more bumps which make my lips look very uneven and unnatural. I went back to my doctor and she advised this is an infection so I am currently taking anti-booties but most of the reviews stated that it could be because the filler was injected to close to surface?

Michael A. Zadeh, MD, FACS · Answer

That doesn't look like an infection. I would agree that it's most likely too much filler injected too superficially. You also still have some swelling. You can try massage, but it may not fully resolve things. If after 2 weeks there is no improvement then you can have the filler dissolved with Hyaluronidase. You may want to get an in-person second opinion and examination from a physician who has experience dealing with filler complications. Best wishes.

Chad Pfefer, MD · Answer

Thanks for your question and this certainly does look like filler that is too superficial.  I think that an in-person exam would be essential to figure out what can be done and generally we give swelling 2 weeks before making further recommendations.  Certainly if this persist then you can have the filler dissolved assuming that it was an HA(Hyaluronic Acid) filler.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question and for sharing your
photographs susan1222. I understand your concern. Fillers are used to restore
lost volume in and enhance the appearance of the face. It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles. However,
I hope the information provided here is useful.With any filler injection lumps and bumps are possible. For my patients I recommend gently massaging the area for 5 minutes at a time, 5 times per day, for 5 days as a guideline to smoothen out lumps and bumps. Swelling can last up to two weeks. We have our patients return at that time to assess the results using photographs. At that point more product can be added if further enhancement is desired or some of the product can be dissolved. If hyaluronic acid fillers are placed too close to the surface a blue tint may be visible; this is called the Tyndall effect. In such instances the product is usually easily dissolved and the blue color resolves.Please consult with a doctor for specific
recommendations.  Good luck!

Anna Avaliani, MD · Answer

Thank you for your photographs.  It would be helpful to know how long it has been since your injection. Those bumps are filler and they can either go down on their own in a few days or need to be injected with Vitrase to soften them. It definitely doesn't look like an infection. Hope this helps. Best, Dr.Avaliani

Robert Whitfield, MD · Answer

It certainly could be that the filler was injected to closely to the skin.  I always massage those areas after I inject to avoid this.

Alexis Parker, MD - Account Suspended · Answer

The bluish cast that you see after bruising has gone is a Tyndall effect, a light reflection that appears blue.  This is not uncommon with many hyaluronic acid fillers and is often seen when they are placed close to the surface.  These products can also be bumpy is not injected and treated properly.  Both problems can be corrected by an experienced injector with hyaluronidase.  Always see an expert.  Best of luck to you. Alexis Parker MD

Ramtin Massoudi, MD - Account Suspended · Answer

Lip is vascularized and there is a chance that filler is injected into a vein or the filler is pushing against a vein causing blood entrapment. If the vein is bulging your doctor can use a needle and poke that vein and release the trapped blood. And massage the filler to push it out of that area.

Bluish lip filler bumps: was my filler injected too close to the surface? (Photos)

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