Why Does Juvederm Leave a Bump After the Injections?

Every time I get Juvederm, I develop a little bump, like a bug bite. Is there any way to avoid this?

Doctor Answers 36

Avoid Juvederm bumps with good technique.

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It is not the Juvederm that causes the bumps, It's how it is being injected.  You need a doctor with a good eye and excellent technique.

Manhattan Plastic Surgeon

A slight bump after Juvederm is normal

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When dermal fillers are injected the material expands the surrounding tissue. This is normal, and may cause some raising of the skin surface.

Over a few days this subsides to a flatter surface, while maintaining the cosmetic improvements for the life of the filler. The duration of the filling effect will vary with the type, location, and volume of filler used.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 35 reviews

It's the filler (the injector), not the filler (the product)

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Technique is critical when injecting fillers. The injection of the product should stop about 1 mm before the needle is removed, otherwise product will be injected too superficially as the needle is withdrawn, creating those little bumps.

Any bumps that are present during the injection session should be massaged out before you leave. Fortunately, over the first day or two, the product absorbs some water from under the skin, and the bumps resolve.

Remember, it's the filler, not the filler. Good luck with your next treatment.

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 37 reviews

Juvederm Should Not Leave Lumps or Bumps

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Injecting filling agents such as Juvederm or Restylane is very much technique- and physician-dependent. In other words, the doctor must know what he or she is doing, and many do not.

When you inject Juvederm, if it is too deep, it is absorbed by underlying tissues and does not specifically fill the wrinkle. But if you inject too superficially or too close to the surface, you can end up with lumps. Generally, these will go away within a week, but for persistent lumps, you may need to undergo additional injections with an enzyme named hyaluronidase to dissolve the filler material.

Choose your injecting doctor carefully. Make sure he or she is board certified in dermatology, plastic and reconstructive surgery, head and neck surgery or oculoplastic surgery.

Arnold W. Klein, MD (in memoriam)
Beverly Hills Dermatologic Surgeon

Avoid Juvederm bumps with a good injector!

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Juvederm is a gel-like substance which allows it to be palpable under the skin after injection.  Any bumps that are present during the injection session should be massaged out before you leave.  You should not be able to see any bumps when you look into a mirror.

David L. Robbins, MD, FACS
West Des Moines Plastic Surgeon

Juvederm Bumps Related to Type, Area, Depth and the Injector

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There are several reasons why lumpiness can occur following any filler injection. A lot depends on the site of injection and the depth where the filler is placed .  When injections are done more superficially the technique is to constantly move the needle moving around rather than place the filler in just one spot. Juvederm comes in four types and each is used for a specific reason and  location. Juvederm Voluma is great for deep injections like the cheekbone where as Juvederm XC is fine for the smile line or marionette folds. Juvederm Ultra XC is really more for lips but can be placed elsewhere. Volbella XC is meant for the most superficial injection in the dermis. Lump or bumps from Juvederm can be treated easily with a hyaluronidase injection which will definitely soften the area. If you are concerned about it remember the bump will eventually go away, however, if it is visible I suggest you contact the practitioner and ask for further advice.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 20 reviews

Juvederm/ Bumps

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It can be that there is minimal swelling after your treament. Juvederm is actually still soft after it is under the dermis for the first 24 hours, so you can use massage to the site to flatten out any lumps.  For future treatments, do make sure that the provider is experienced in the placement and tecnique of the product.

Joseph Serota, MD
Aurora Plastic Surgeon

Lump after Juvederm injection, how to avoid this?

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Juvederm and Restylane are meant to be injected within the layers of the skin and as such can cause localized lumps and bumps if not massaged smooth following the injections.  perhaps ypu could ask the MD that does the injections to either inject the Juvederm deeper and/or massage the injected area smooth immediately after the injections.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Technique matters

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If the product is injected too superficially, it can leave lumps. Make sure to seek treatment from an experienced injector, whether physician or physician assistant. Ask how long they have been performing this procedure. Look up their ratings online. The newer Juvederm products (Volbella, Vollure) are less likely to leave any residual lumpiness, are easier to inject (more control for the injector), and provide longer-lasting results than Ultra/Ultra Plus.

Bart Rademaker, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 3 reviews

Avoiding bumps after filler

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Immediately after filler injection, you can get a bump from swelling or bruising or just being 'reactive' (like a hive). Those are normal and go away in a few days to a week.  However, longer lasting lumps or bumps can mean excessive filler or filler injected too superficially.  If that happens, you should return to your physician.  They can be dissolved with injections of hyaluronidase, the enzyme that breaks up hyaluronic acid, the material that makes up gels like Juvederm.

I hope this answer was helpful.  Best wishes.

Heidi A. Waldorf, MD
New York Dermatologist
5.0 out of 5 stars 10 reviews

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.