How to Manage Bumps and Lumps from Cosmetic Fillers

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Someone asks why there are so many differing doctors’ opinions on the lumps and bumps that can happen after Juvederm application. Some recommendations they read say they require immediate medical attention, and others say it is a normal occurrence in the beginning of the treatment process.

New York Oculofacial plastic surgeon Amiya Prasad, MD, reviews these concerns in this video, and explains the different reactions to Juvederm treatment or different areas of the body:

1:17 - Dr. Prasad’s medical experience with different fillers over the past 20 years, and how there is a lot of confusion about them
2:07 - How Dr. Prasad believes in a natural look when it comes to fillers, notably in the lip area
2:50 - How Dr. Prasad uses fillers as a tool in an artistic way to augment lips, following established ratios for natural-looking beauty
3:38 - How treating volume in the lips involves different areas, and different levels of the tissue
4:13 - How entering the lips with a needle results in short-term reactive swelling, which can initially hide bumps from excess filler being placed
4:40 - How bumps from a little excess filler can be smoothed with just natural lip movement
5:02 - How Dr. Prasad normally sees patients after two weeks of filler placement to assess results, determine if there is any excess, or if additional filler is needed
5:33 - Factors of concern for filler placement include: pain, inflammation, infection, and or hardness, which requires more urgent medical attention
5:56 - How Dr. Prasad explains to patients to choose the right doctor, especially since fillers are increasingly commoditized
6:26 - How quality of follow-up care can be a concern when filler treatment is chosen by price alone
6:33 - Why Dr. Prasad treats filler application as an invasive procedure like surgery, as the needles break the skin and introduce a foreign material under the skin, so Dr. Prasad’s filler patients are treated like his surgical patients
7:18 - Why the relationship with the doctor and their ability to examine patients determines urgency, which is why many doctors on online forums recommend medical attention when people post photos
7:49 - Generally speaking, subtle irregularities of fillers, without any reactions, are not considered urgent
8:20 - How Dr. Prasad sees filler patients regularly and knows them since fillers do require maintenance
8:40 - How people can have fillers done by different providers, which do make it less consistent in application
9:13 - How fillers generally require about two weeks to settle before determining if any additional intervention is needed

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