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.
Generally, any lumps or bumps that appear after fillers will disappear on their own within one to two weeks. Give the treatment a couple of weeks to improve, applying ice regularly.
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.
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.
These swellings commonly remained at the site of injection and disappeared with adequate treatment; however they are now infrequent. Clumping of a filler causes lumps and bumps that usually have to be surgically removed. Permanent fillers cause permanent side effects.
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.
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.
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.
Massaging the treated areas can disrupt the dermal filler and cause the hyaluronic acid solution to move out of place. This can lead to an uneven or lumpy appearance.
Lumps and Bumps After JUVÉDERM™ Injections
In some instances, patients may also notice mild lumps or bumps following JUVÉDERM™ treatment. These are uneven areas of the dermal filler settling in the skin. Like the side effects we've noted above, these lumps and bumps are generally temporary and resolve on their own.
The filler can take several weeks to soften and settle into your skin. This means that patients won't see the ultimate results of their treatment immediately. Although individual results will vary, many people achieve the full effect within two weeks after receiving their injections.
Cheek fillers are injections that raise the volume of the area above and around your cheekbones. This provides the illusion of a more defined bone structure. By injecting volume under your skin layer, cheek fillers can also smooth out wrinkles and fine lines.
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.
After the 3rd day and before the 7th day post-injection, I recommend massaging any area with a visible bump, excess fullness, or asymmetry, several times a day, until it smooths out. This massage can be performed with a fingertip or the tip of a Q-tip.
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.
We recommend avoiding to have any facials, massages, or lasers/ waxing to the face for 2 weeks after dermal fillers. This is because the product is still settling and activating for 2 weeks after injection and we do not want to disrupt and potentially move the product.
DON'T: massage your lips.
Massaging freshly injected lips risks moving the filler around causing the possibility of desportation and undesirable results.
Migrated lip filler is visibly noticeable and usually presents as lumps, but can also appear as a puffy upper lip, lack of a defined border between lip edge and above and/or below the lip border – think duck lips. If you're prone to lip filler migration, you may be wondering why it keeps happening.
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.
Signs and symptoms of allergic reactions to cheek fillers include prolonged swelling, pain, and discomfort. It may also cause itchiness and, in very rare cases, anaphylaxis. Anaphylaxis is the severe allergic reaction to medication or food that leads to shock, skin rashes, and low pulse rate.
How Can Injectable Fillers Stretch Out Skin? Injectable fillers can stretch out the skin if they are used too often and in large doses. This occurs because the fillers are stretching skin that is producing less collagen and elastin to maintain youthfulness; therefore, once the filler is gone, the skin cannot contract.
Massaging the area may help to break up the bumps. This early after the procedure it may not be a permanent issue. If they persist, I would return to the injector. Hyaluronidase can be injected to dissolve the juvederm.
Delayed-onset nodules occur in 0.5% of HA filler treatments, typically four weeks to over one-year post-treatment. These nodules are believed to occur due to either delayed onset inflammation or bacterial biofilms. Often, these nodules have preceding infectious or immune triggers.