Did you have Perlane bruising and swelling?

roctom 10 Jan 2013

I had perlane injection onJan 8th, am I supposed to see a difference immediately, or after the swelling goes down.

Megan P (Community Manager) 10 Jan 2013

This Q&A addresses your question, roctom:

When Should You See Perlane Results?

MBZ Gal 15 May 2012

I had Juvaderm injected in both upper and lower lips; looked great for a few weeks; totally went away. I went back to my doctor and he agreed it "disappeared" and he injected Perlane. Practially the same story ~~ only lasted 3-4 weeks and my lips are back to normal. What could be happening? I have another appointment with him 6/5/12 and I hope to have some information to give him. He's a popular Dermatologist with very good recommendations. His Botox injections work wonderfully but what's going on with his Juvaderm and Perlane injections?

Megan P (Community Manager) 16 May 2012

MBZ Gal, the info in this Q&A might be interesting to you:

My Juverderm Has Disappeared After Two Weeks, Why?

californiagirl911 14 Jun 2012

I have had the same issues with lip fillers, tried everything and NOTHING lasts! I think its just how your body reacts to it. I just now tried to do perlane and do 2x the amount i usually do, we shall see. It was also recomended to "layer" it.....

just my 2 cents :)

victorducharne 9 Mar 2013

When I googled I read : Juvederm It's made out of Hyaluronic Acid which is safe, common and very soft. Juvederm has the highest concentration of Hyaluronic acid at 24 mg/ml. It tends to last the longest of all of the Hyaluronic Acid Fillers. The higher concentration can cause more swelling. If you get a lump, Juvederm can be dissolved with Hyaluronidase. Juvederm Ultra is thick, Ultra Plus is even thicker and may last even longer. Perlane which is similar to Restylane, but which last longer and is more effective in the way it fills larger and deeper wrinkles and furrows. http://www.angellift.com/productdetail.php?id=55&cat_id=3

chloe58 4 May 2012

I had perlane L treatments for my smile lines, marionette area and lips lines to smooth out my wrinkles from smoking, it has,nt quite been a week yet since having this carried out i did experience some swelling and tightness around the mouth area but it has subsided, my concern is that i have small lumps area on my upper lip and am concious of these it does,nt appear to be a swelling, could it be the product that has,nt dispearsed yet? & will it settle? please respond please as i dont know what to do.

cathy321 4 Apr 2010

I had 1 syringe of Perlane injected under my eyes to fill in the bags 2 days ago. It looks like I have 2 lumps on the very top of my cheek bones, it's swollen and looks like I got beat up. I'm wondering if this filler moved, and is sitting lower than where it was injected. Is this possible, or just a result of swelling? Please respond if you have any idea. I'm taking arnica, tylenol and using ice, but am still in a panic about this.

Elan B. Singer, MD 30 Jul 2009

You're experiencing normal post-procedure woes. Everyone bruises differently but typically this lasts between 3-10 days. The tightness is also normal and results from the skin stretching following injection of the filler material. This also is short-lived but can last up to several weeks. Don't worry--it'll all settle out soon!

View answers from Elan B. Singer, MD

ilovelamp 15 Jan 2009

i'm about 10 months into my first injection and a few months ago went in for botox. my nurse said i looked great and didn't need a touch up yet...i can handle a fews days of swelling and bruising for a year of "happy face"...

James_04 (unregistered guest) 14 Jan 2009

Hi, yes just in response to francineparent who said you can do it yourself I just want to express a lot of caution. I had fat injections to my face and the doctor injected into my artery which caused a blood clot in my nose and I have lost some of the left side because of that. As far as I know its never happened with that type or surgery but it has happened a few times with fillers like restylane, etc. It is much better to do it with a doctor, this can still happen, but you're a lot safer that way and I wouldn't want this to happen to you.

SLA 19 Sep 2008

I love blogs. First off thanks to the experts lending advice and explaining situations more clearly...I just had my upper lip filled with Perlane as my main objective was to balance out the look of my mouth (lower lip was much fuller). It's been about 24 hours and my upper lip has a duck look and is much bigger than the lower - which was not filled. In addition to this, I have some bruising as expected and not too worried about. My question to the experts is can I expect the upper lip to subside in swelling? it is at least 50% fuller than my lower. Or will I have to go back and fill the lower part to further balance it out...Hope this makes sense!

Sharon at RealSelf (Community Manager) 19 Sep 2008

Hi, To reach our full panel of professionals, you can also submit your question to our Q&A area here. Best of luck to you, Sharon

Lori Haney 19 Sep 2008

Dear Consumer: Good questions, and yes, your questions make perfect sense! Typically, Perlane is not used in the mouth because of the amount of volume it provides. In fact, the volumizing will continue for 2 weeks after the injection. Although it is not unusual to have swelling/bruising to the lips, what you are describing (ex: 50%) sounds quite extensive. Most people prefer a fuller but natural looking mouth. If your return to the same practitioner to have more product added to the bottom lip to balance out your proportion - you may end up being very unhappy or chasing the upper lip and lower lip with more product trying to find the right balance wherein the bottom lip is slightly fuller than the top. This usually creates an vicious cycle and an unhappy patient. I would recommend that you contact your practitioner to describe your condition and ask for an evaluation. If after the swelling has calmed down and the full effect has taken place (2 week mark), and you are not liking the outcome, ask about reversing the effects with hyaluronidase. In the future, you may find that Restylane or Juvederm offers a nice filling effect without the degree of swelling/over-volumizing with Perlane. L. Haney, RN

CINDY WILCOX 7 Jul 2008

I was injected on Wednesday and it is now Monday morning! I have no swelling just redness at injection sites! Small amount of pain upper lip only, none in the folds. I am a big fan of jevederm! But my Dermatolgist likes this product better! So i went for it! Hope it last longer than 3weeks now I'm worried! Cindy

SmartLipoMD 7 Jul 2008

Hi Cindy, Don't worry. The Perlane (or Restylane if that's what you had in your lips) will last longer than 3 weeks. Keep an eye on the redness at the injection sites. You should have your doctor take a look to make sure you are not becoming infected. You must seek medical attention if the discomfort worsens, sites have a discharge (stuff coming out of it. . ."pus"), red area becomes larger, you develop a fever, or have any other problems that concern you. I hope this helps.

Lori Haney 3 Jul 2008

Perlane is designed for deeper, more pronounced wrinkles/folds and to add volume when shaping the face with fillers. Because it has only been four days since your treatment, you may want to wait the two week mark which is the optimal time frame wherein the product enhances volumizing by drawing water to this area. It could be that you had some tissue swelling initially that is now resolving. This may lead one to think that they are now losing their results when the results may actually have just begun to be realized. Another possibility is that you may have benefited from more than just one syringe. Using less than the necessary product will almost always lead to disappointing results. It's good that you spoke to the practitioner regarding your concerns. However, I wouldn't recommend having more product added until you see the final results at the two week mark.

Fabrizio 3 Jul 2008

I had 1cc of perlane in each of my cheeks four days ago and I was happy enough with the results - but over the last few days the perlane seems to have started to fade. I spoke to the office of the PS and they told me to come in for a top up but they also said they would not discount the charge which I'm really unhappy about. How can perlane start to go after less than four days?!!!

ilovelamp 10 Jun 2008

as the originator of this thread, i can tell you if you take tylenol for the pain and arnica for the swelling and bruising, and stay hydrated, you will be back to normal in a few days (but I had my smile and marionette lines filled - no lips).

D.J. Verret, MD 9 Jun 2008

Dear Momdon, I agree with Dr. Sinclair. Don't fear. As mentioned earlier in this forum, swelling is common after injection of any of the hyaluronic acid fillers (such as Perlane). This generally goes away in a couple of days. If it appears that you had too much placed, ask the physician to inject hyaluronidase. It is an enzyme that will dissolve the hyaluronic acid usually in 1-2 treatments. If the swelling goes away and it looks ok but maybe just a bit too much, leave it alone. The fillers will slowly wear off over several months. My experience has been that lip fillers will go away much more quickly than advertised and than those used in the nasolabial folds.

View answers from D.J. Verret, MD

Zucker 21 Mar 2012

Dr Verret, I had Perlane injections(2) yesterday in my jawl area to smooth out sagging. This morning I look like the Godfather with each side of jawls looking like they are stuffed with cottonballs. I can't go to gym, work or out in public, I look like a freak, when should I expect this to go down. In addition I have a finger size bruise along one side of my mouth. I am so scared that this is end results, pls comfort me!!!

Megan P (Community Manager) 22 Mar 2012

Zucker, here is a Q&A that talks about swelling with Perlane. I hope the info in it helps!

Perlane Recovery: How Long Will Swelling Last?

Lexa 9 Jun 2008

I just had Perlane placed in the nasolabial folds and on the corners of my mouth where there were small impressions. Everything looked fine when I left the Dr.'s office, until I went home and started to massage it, per the Dr.'s instructions. Now one side near the corner of my mouth looks like I have cotton stuffed in my cheek. Has the massaging made it worse? I have since stopped the massaging, but my smile looks a tad bit deformed, and as if there is too much filler placed on that side. Should I be concerned, or is this normal swelling that has to run its course? Please help!

D.J. Verret, MD 10 Jun 2008

Dear Lexa, Without seeing the results, I cannot really comment. My suggestion would be to call the physician's office where you had the procedure performed and ask their opinion. It may be something that they can look at easily and tell if something needs to be done.

View answers from D.J. Verret, MD

D.J. Verret, MD 10 Jun 2008

Dear Lexa, Without seeing the results, I cannot really comment. My suggestion would be to call the physician's office where you had the procedure performed and ask their opinion. It may be something that they can look at easily and tell if something needs to be done.

View answers from D.J. Verret, MD