Restylane injections can have lumps or bumps that show up after the treatment, but they disappear within a couple of weeks. If the bumps do not resolve themselves within one month, your provider can use hyaluronidase to dissolve it.
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.
You will see the final results of your treatment about four to six weeks after your treatment, which is about the time it takes for your body to kickstart collagen production to restore facial volume. This is also because it takes about two weeks for this dermal filler to settle into the hollows of your skin.
These usually resolve in a couple of weeks with massage or dilute injection of a steroid anti-inflammatory solution called kenelog. Another option is to dissolve the Hyaluronic acid completely with a protein called Hyaluronidase. This material is injected directly into the affected area.
Answer: Restylane and Bumps Under the Skin
Sometimes bumps under the skin is caused when the injector pushes on the plunger as the needle is being withdrawn. If the product is placed superficially (close to the skin) than you will see a bluish tint, this is called the Tyndall effect.
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.
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.
Lumps are actually a common side effect after a dermal filler or lip filler treatment. Often they are a short-term problem, but if not, they are correctable by an aesthetic medical professional.
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.
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.
Will Results Improve Over Time? Absolutely! This injectable gives you improved results over time, unlike many other similar treatments. The active ingredient in Restylane works with the natural regenerative properties of your body, extending the results you'll see after treatment over the course of several weeks.
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.
Answer: Hyaluronidase is used to dissolve Restylane
Hyaluronidase is an enzme that dissolves Restylane. It can lead to bruising and swelling, but the tissue should return to normal after a few days. Massaging the area where the Restylane has been injected may help move it out of the tissues faster.
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.
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.
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.
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.
Juvederm, Restylane and other fillers that are formulated with hyaluronic acid can be reversed with an enzyme known as hyaluronidase. Injecting this enzyme into the treated area dissolves the particles of hyaluronic acid.
Treatment for Non-Hyaluronic Acid Fillers
These dermal fillers can be treated with a steroid injection to reverse some of the effects of these fillers. The best and most certain course of treatment is to wait for the body to absorb these fillers. This can require waiting for the treatments to fade over a year or so.
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.
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.
So while the body naturally breaks them down over time, there is a way to speed up the process: Injections of hyaluronidase. Hyaluronidase is what the body produces naturally to break down fillers, so by injecting more, it allows the lips to regain natural shape quicker, usually going down within 3-4 days.
Swelling should go down within 2–3 days after your lip filler treatment, and should subside completely within 2 weeks post-treatment. In the meantime, there are some things you should do to help manage swelling and discomfort.