White-ish Bumps 7 days post Juvederm in lips

Question

I am wondering if these whiteish bumps will potentially go away within the next few days -- what are they?? I can feel them when I run my lip over them. It has been 7 days.

Sam Naficy, MD, FACS · Answer

It appears to be "lumps" of product placed too superficially. This is nor they way it should be. You should return for hyaluronidase that will dissolve the product. Then you can decide if you want to be re-injected by someone else with more experience. I'm sorry, at least it correctable!

Monika Soni, MD · Answer

Juvederm is an excellent choice for lip augmentation. However, one must be very careful when injecting the lips, as asymmetry and visible bumps can occur. In your case, it appears that the Juvederm may have been injected superficially, but there is no way to truly tell from a photo. I would recommend that you visit your physician so that they can then determine the cause of the white bumps. The good news is that since Juvederm is a hyaluronic acid filer, this situation can be corrected if necessary.

Sabika Karim, MBBS · Answer

Dear Sandy, 
Its a difficult photo to assess but from what I can see the filler may have been placed superficial in the lips. This can then be seen and felt when you run your tongue along it. The good news is that Juvederm can be dissolved with an enzyme called hyalase. 
Book a face to face so that your lips can be assessed in person as a photo is not always accurate.
Wishing you all the best.

Ryan Greene, MD, PhD · Answer

Juvederm is an excellent choice for lip augmentation. However, one must be very careful when injecting the lips, as asymmetry and visible bumps can occur. In your case, it appears that the Juvederm may have been injected superficially, but there is no way to truly tell from a photo. I would recommend that you visit your physician so that they can then determine the cause of the white bumps. The good news is that since Juvederm is a hyaluronic acid filer, this situation can be corrected if necessary.

Channing R. Barnett, MD · Answer

It is difficult to assess from the picture alone, but it appears as if the Juvederm may have been injected too superficially. If the bumps are not improving or mostly resolved in the next week (second week post treatment), I would call your doctor (who did the injections) immediately.

Imogen Bexfield, BChD - Account Suspended · Answer

The white areas appear to be filler which is not lying in the correct layer of the lips. It may be dissolving the product is the best approach, which will correct the issue. Good luck with your future treatment

Karen Vaniver, MD (in memoriam) · Answer

Although it is difficult to see in your photo, my suspicion is that the Juvederm was injected too superficially in you lips, and your best option is to have it dissolved with hyaluronidase.I can't stress enough how important it is to have your injectable treatments by an expert injector. Board certified plastic surgeons are trained to appreciate your facial aesthetics and anatomy, understand how to choose the appropriate products for you, understand injection techniques and pitfalls, and are competent in treating complications. There are times when non- invasive treatments are effective, and times when surgery is the best answer.

White-ish Bumps 7 days post Juvederm in lips

Answers (7)

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