Annoying and unsightly bumps after receiving dermal fillers

Dermal fillers are on the rise, but with increasing popularity and people opting for cheaper and often ill-experienced administrators, comes an increase of risks and side-effects.
Here at Castleknock Cosmetic Clinic, we are seeing more and more unfortunate individuals presenting to us with lumpy and irregular lips following a bad lip augmentation elsewhere. It’s not unusual for patients to have contour irregularities of the facial skin in the immediate period following dermal filler injections. In the vast majority of patients this is usually related to either bruising or swelling and may take a week or so to resolve. With good injection technique, long term bumps should be rare. Lumps and bumps only occur in less than 5% of treatments and should be very small and hardly noticeable when they do occur.

Unfortunately, in unskilled hands these lumps, bumps and areas of hardness may be related to uneven injection of the dermal filler or superficial injection of a filler intended for deeper application. Although hardness can happen with any filler, more commonly they are caused by too much of the filler being injected at one point in the skin. Hyaluronic acid dermal fillers tend to absorb water which can accentuate the problem, specially in the lips where they’re noticed as lentil sized beads.

If the bumps persist, they can be treated. In some cases gentle massage will address the problem. In other cases removal of the offending dermal filler will be requires and thats when I see patients presenting to me for correction. Removal of dermal fillers irregularities can be accomplished by either manual extraction using a specialised instrument or by using the enzyme hyaluronidase to dissolve the material.

In Summary:

Once the treatment settles lumpiness should not be felt. Persistent irregularities can be treated successfully

What to do if you notice lumps after my dermal filler injections?

Infection needs to be ruled out. Contact your treating doctor to assess if antibiotics and other treatments may be required.

If you can only feel the lumps and not see them, then don’t panic, because simple massage should take care of the irregularities.

If you can see the lumps, keep an eye on them and if they don’t disappear in 2 weeks then see our help at Castleknock Cosmetic Clinic.

Removal of lumpy dermal filler:

It could be possible to manually remove the offending dermal filler:

  • Physical removal by a specialist extraction needle
  • Injection of a dermal filler dissolving medication called Hyaluronidase / Hylase


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