The first thing is to massage the area. The more you massage, the better it will look. If you can see the lumps. Do a gentle massage (only if recommended by your injector) and if you can still see a lump after 4 weeks, see your doctor. Lumps are extremely common in the body of the upper lip.
Even with a perfect technique, this can happen. This area needs an extra strong massage. Ask your doctor to show you how to massage the area. The injection technique, which involves placing many fine lines in an area instead of depositing large lumps of filler, will reduce the incidence of lumps. The administration of dermal fillers requires an aseptic technique: deep cleaning followed by disinfection with 2% chlorhexidine gluconate in 70% alcohol, total removal of skin debris, thorough hand sanitation and the use of sterile gloves2 (see ACE Group guidelines on the treatment of acute skin infections).
Also tell your injector if in the past you have a history or have had lumps due to dermal filler that have not resolved for more than 4 weeks after the injection. If no significant improvement has been observed after four weeks and the DON is the result of an injection with a hyaluronic acid dermal filler, consideration should be given to using hyaluronidase9,11 (see the ACE Group's guidelines on the use of hyaluronidase in aesthetic practice). For the purposes of these guidelines, a late-onset nodule (DON) is an involuntary visible or palpable mass that occurs at or near the dermal filler injection site. Complications appear to be more common with particulate fillers4 (combined gels), although any injected foreign body causes a reaction in the host tissue, the magnitude of which depends on the nature of the product.
When a product is too superficial or excessive correction has occurred, early massage can help to soften the skin and evenly distribute the injected filler. Therefore, when a hyaluronic acid filler is placed on the skin, it provides water to the area to fill wrinkles or loss of volume. Late-onset nodules after treatment with dermal filler (also known as lesions or simply bumps) can be scary for even the most experienced aesthetic doctors. In other areas of the face, fillers may be placed on the temples, nose, cheeks, under-eye area, chin, and jaw.
It is very common to feel bumps on the skin in the days after the dermal filler is injected into the face, including on the upper body and on the cheeks and chin area, as well as along wrinkles and folds when injected to lift them. This occurs when a large bolus of filler is injected and a capsule forms around the surface exposed to host tissue. They can occur with all injectable dermal fillers and usually appear after a latency period of several months to years after treatment. The formation of lumps after dermal filling is a common problem and can be normal and temporary, or it can be it needs to be reviewed.
