Lumps and bumps can occur with any dermal filler injection. In fact, it is very common for patients to feel lumps in their skin days after treatment.
Smoothing Out the Lumps
The good news is yes, those pesky filler lumps will in fact go away. It's actually quite uncommon for patients to experience any irritation or lumps following their procedure, but if you do, then you should expect them to dissipate after a few days.
TAKEAWAY. Experiencing lumps in lips after injectable filler is extremely common—and lumps most often resolve naturally with time. Gentle lip massage 5-7 days after the treatment can help smooth any lumps and bumps in the lips.
Lumpiness is very common to feel in your skin in the days after injection of dermal filler into the face, including the upper lip body and the cheeks and the chin area and along wrinkles and folds when injected to lift these. It will usually resolve within a couple of weeks.
Whilst it is somewhat normal to feel small lumps, depending on how thick the filler used was), if they feel one lump in particular, they can gently massage it in between their finger and their thumb, over a period of time, and it will help to “break down” the lump.
Massage can encourage the filler to be broken up by the body more quickly. But in practice this still takes a long time (like weeks of daily vigorous massage) to improve the outcome. This may also spread the product over a larger area causing more problems.
The Results Improve Over Time
Because these injections stimulate your body's production of collagen and elastin, the final results of treatment won't be seen for several weeks. Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate.
That said, these injectable treatments take some time to integrate into your tissues, and it's normal for your dermal filler to take up to two weeks to fully settle into your face.
Although extremely rare, dermal fillers are able to migrate within the skin if consistent and adequate pressure is applied to them. For this reason, we advise patients not to get a facial, massage (on the treated skin), or microdermabrasion for the first two weeks following their filler injections.
Do not massage your lips for 24 to 48 hours after the treatment. Once your swelling subsides down, you can gently massage your lips with light pressure.
Within the first two weeks after your injections, lumps and bumps are normal because the cheek filler is settling. If they are particularly pronounced, your injector may recommend massaging the filler. Secondly, if it is after two weeks, your injector will likely still recommend massage first.
Lumpiness is fairly normal after dermal fillers. Most often this is due to swelling immediately after a treatment. This should resolve within a week but rarely can take several weeks to fully resolve.
Are Lip Fillers Supposed to Feel Hard? Your lips may feel stiff or rigid immediately after injection with dermal fillers. Don't worry — this is entirely normal, and the lip fillers will soften with time. Your lips may also be swollen and tender, which can contribute to the lip filler feeling hard under the skin.
It is not uncommon to experience a small degree of asymmetry immediately post-treatment due to the potential for swelling and bruising. Juvederm can take up to 4 weeks to integrate, so it is best to wait and review in 2-4 weeks with your Injector at which point you will have a better idea of the final result.
IMMEDIATE after care – What to do at home
Apply a cool compress to the treatment area (do not apply ice directly to the skin) for 10 minutes every half an hour on the day of treatment. Avoid any heat inducing activities for 24 hours such as strenuous exercise, spas, saunas and hot showers.
It is strongly recommended that you do not use any facial scrubs or retinol based creams or exfoliating creams for at least 48 hrs after your filler injection. It may leave your skin irritated.
Some patients like to sleep on their back the first night after treatment, although there is no hard evidence that sleeping position might affect your filler treatment. Avoid sleeping on your face for a week after treatment.
Many of these videos recommend massaging your treatment area immediately following your injection—but this can be harmful. In some cases, we recommend our patients massage their fillers following treatment to smooth them out below the skin; however, too much massage too soon may cause the filler to migrate slightly.
Dr. Frank says the best way to deal with migration is to dissolve the filler with hyaluronidase (an enzyme that breaks down hyaluronic acid gels). In just a few hours, hyaluronidase softens the filler and returns the lips to a more natural shape, projection, and size.
If you think your fillers have gone wrong and if you have any of the following symptoms, CONSULT A MEDICALLY QUALIFIED PERSON NOW: Severe pain. Blanching of the skin and/or white spots. Mottled skin.
You can definitely apply creams or lotions after Botox or facial fillers. I tell my patients not to massage the treated area for 72 hours so that you do not affect the results. Sunscreen should be applied daily.
In rare cases, facial fillers like Juvederm can migrate to another site of your face within a few days of your injections. This happens when the filler moves before it has fully bonded with your facial tissue.