10 Nov

Two years after having Juvederm lip fillers injected, I still have prominent lumps. Is this normal?


Lumps or palpable nodules can occur after any filler injection. Most disappear after 10 days, but it sounds like yours haven’t.

If they are bothersome to you, they can often be treated with an enzyme injectable to reduce the fullness by dissolving the filler, which is made of hyaluronic acid – a naturally occurring substance in skin.

Too Much Bruising

The injection of any facial fillers will often cause little bruising or some red spots. Bruising after Juvederm or Restylane cannot be cured shutterstock_99149363or fixed, other than to cover it with make-up. Therefore, you want to avoid bruising.

  •         Avoid aspirin, Aleve or Ibuprofin one week prior to your appointment (Tylenol is fine).
  •         Do not take Vitamin E one week prior to injections. A multivitamin is okay.
  •         No alcohol two days prior to injections.
  •         No garlic two days prior to injections.
  •         Take Arnica one day prior or morning of injections.

Asymmetry, or a Lop-Sided Face

If your injection is done well, an uneven face should be slightly corrected or left as is. So, if your filler looks lop-sided, look at a recent photo to confirm your opinion. If it’s not too noticeable, just wait a week. Bruises can cause a temporary bump or asymmetry and will go away in a week or 10 days. Sometimes that bruise is deep and not visible on the surface of the skin.

If the asymmetry is still there after a week to ten days, please call us. We should get you in within a day or two. Make an appointment and Dr. Johnston can either inject more filler (needed if one side is under-filled) or use an enzyme (hyluronadase), to reduce or dissolve the bump or fullness.

Over-Filled or Too Puffy

Wait a week or so, because often the problem will resolve on its own. Sometimes there is puffiness right after a treatment, which goes down within seven to ten days. Remember, bruises from Juvederm can be deep and you may not see them on the surface. They might just feel a little tender and cause some puffiness.

If you still feel over-filled, call us. You may need a little enzyme (hyluronadase) injected to reduce the fullness.

You should be happy with the results of your injected filler. If not, please contact us.

So, what do you think ?