The injection technique of laying down many fine lines in an area instead of depositing large lumps of filler will reduce the incidence of lumps. This creates a very smooth look (maybe not at first, but when swelling has resolved).
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.
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.
It is perfectly normal to have a lump or bump after getting filler. Here's a quick guide. Typically, within a day or two, you might feel an irregularity in some areas where the skin is thinner, such as the lips or the lower eyelids.
If your lumps last longer than two weeks, they may have been caused by congealed hyaluronic acid. Although this cause is rare and uncommon, this can be corrected by injecting hyaluronidase into the lump. Hyaluronidase, like hyaluronic acid, occurs naturally in the body and is used to dissolve filler when needed.
You should massage after having injectable filler in areas where the skin is thinner, such as the lips or lower eyelids, but massaging too much and in other areas could actually break down the filler, resulting in less volume. Or it may cause filler migration.
Typically, they are treated with intralesional steroids and hyaluronidase with good resolution. If no clinical response is seen, a biofilm should be suspected and the patient should be placed on broad-spectrum antibiotics for a minimum of 4 weeks that include quinolones and macrolides.
Clumping of a filler causes lumps and bumps that usually have to be surgically removed. Permanent fillers cause permanent side effects.
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.
Often a small superficial lump in the lip might be a quick dissolve, however larger nodules, or wide spread areas of filler integration will break down in sections, where one may feel the filler is gone in some areas, while still showing in others.
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.
Do I massage my lips after lip fillers? 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.
If you're unhappy with your appearance after treatment with dermal fillers, you need to notify your injector and reach out to a qualified plastic surgeon to perform the correction.
Even as the hyaluronic acid is processed by your body, healthy collagen and elastin grow at a more significant rate. This means you will see initial improvement nearly immediately. They will improve over six to eight weeks.
Occasionally small white glands already present in the lips, known as Fordyce spots, may become more visible for a few weeks after treatment. These will settle as the filler settles and they should become less visible. Ensure you are well hydrated and drink plenty of water.
Lipohypertrophy is a lump of fatty tissue under your skin caused by repeated injections in the same place. It's common in people with diabetes. Lipohypertrophy can affect your body's ability to absorb insulin and cause serious complications.
This happens when the filler was injected too superficially. Patient may take notice to the uneven appearance several weeks post treatment or 3+ months post treatment when the body starts to slowly metabolize the filler. Additional areas that can be “botched” are cheekbones, chin, marionette lines, etc.
Upon injection, dermal fillers may feel firmer or harden due to a healing response of the body. Additionally, the filler needs to settle into the correct and ideal position. Some fillers may feel firmer than others. Injectors do tend to use firmer fillers for the cheeks, especially if accentuating the cheekbones.
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.
➢ When you first look in the mirror after your injections the tissue may look distorted or uneven. The distortion / unevenness are a result of the injections and swelling in the tissue. THIS IS NORMAL. It will subside and look natural over the next few days.
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.
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.