The most common cause of lumps after a filler treatment is swelling and bruising from the injections themselves. These should naturally subside within the first week.
Not to worry though, lumps following a filler treatment are completely normal. The lumps you may experience are often caused by swelling and bruising of the treated area. We would not recommend massaging or using force to reduce the lumps yourself, as this may impact your final results.
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.
Massage is always the first step to help reduce lumpiness after fillers. You can be pretty aggressive in trying to mash the material into a smoother shape. If that doesn't work, your doctor can inject hyaluronidase to "melt" or dissolve the filler.
Dissolve the filler with hyaluronidase enzyme such as Vitrase or Hylenix. These enzymes, when injected, will cause hyaluronic acid based fillers to completely dissolve within about 5 minutes, with repeated massage. This returns the lips to their baseline prior to injection.
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.
Gentle massage
Gently press your lips between your thumbs and forefingers and roll your lips between your fingers. Massage your lips 2-3 days after having a lip injection.
With any injection of a dermal filler into the skin, lumps can occur and it is very common for a patient to feel lumps in their skin days after an injection.
DON'T: massage your lips.
Massaging freshly injected lips risks moving the filler around causing the possibility of desportation and undesirable results.
Check with your provider to ensure that the lump is not an uncommon complication, like an infection or a vascular block; if you're in the clear, there is no need to worry, and the lump will usually resolve itself within one to two weeks. You can minimize the swelling by icing or applying a cold compress.
While massage can sometimes improve mild symptoms such as moderate lumpiness or slight asymmetry, don't perform massage on your fillers unless instructed to do so by your plastic surgeon or injector.