Too much Restylane lips - trout pout!

I just got Restylane yesterday (.5 cc in upper lip) and when I woke up this morning...my lips were so ducky I looked like a toucan! Restylane is water-loving meaning the water in your body swells to the lips. Knowing this I went and got a large iced coffee (coffee is a diuretic, it causes your body to excrete excess water) and seriously, it seemed to help!!! That plus use of ice packs.

i had restylane lip augmentation before 2 weeks and my dr put 1 and half needle in my upper lip it looks like duck lip and i felt ugly , now thank god after hyaluronidase enzyme injection it get smaller ..

Lainey:

Thanks so much! I so related to your story and you have a nice, healthy, realistic attitude about this. It makes this whole experience less scary. So again, thank you. Your advice is the right advice. I actually did what you did -- waited it out -- and it DOES look a lot better. In fact, it looks quite normal now, a little swollen in the morning and just a tad meaty in the smile, but no one notices. Thank god! Still, I had to cancel my work because I had so much edema. I think the steroid pack would have worked (my trusted doc said the exact same thing you said), but I could not find anyone here to do it on short notice. I guess I learned again, that both the injector does make a big difference and that sometimes your body is just gonna swell. I should have mentioned, there was a week-long heat wave directly after I had the injection, which of course didn't help swelling. If my fingers were swollen, my lips were gonna be extra swollen. When the weather came back to normal, my lips de-flated a bit. BTW -- I'm happy your family was so cool. I broke down and told mine too and they helped ease the tension too. I could even make jokes. Next time I will use my regular doc who will dissolve if necessary AND I will have the procedure at least three weeks before anything important.

Thanks again. You've really made me feel better about all of this. And I'm so happy YOU feel better. You deserve to:)

SallyAnne- I recommend you have the Doc call in a steriod pack (pill series) to reduce the swelling; I was surprised by how much and how quickly this improved my lips. You'll know in 48 hours after starting steriods what you think of your lips w/out swelling clouding the issue.

I feel your frustration- I'm finally truly happy with my smile again- after nearly 2 months....I could hide out for a bit with-in a close circle of friends and family...and they helped me not take it too seriously...but, I was still bothered by my appearance for six weeks solid. Being in the public eye, as you are, would be a lot more diffifult. Restylane seems to dissolve very slowly...when you WANT it to fade; I suggest you not hesitate to dissolve (a bit of it at least)...if you are not happy on a daily / hourly basis. Good luck - update, please. : ))

Lainey and everyone else:

Thank you for your updates and stories. I'm going through a similar dilemma. I've had resty in my lips for a couple of years, always very conservative, always just to attain a youthful look, not change my lips. I had one traumatic experience when too much was placed in my middle upper lip. I had another doctor use hyaluronidase and it was all better. Needless to say he became my regular doc after that. It's been fine with him for a while -- maybe a bit puffy here and there -- but it always goes down. But this last time, I went to another doctor (after research) when I moved. Oh no. I too have the Meg Ryan Joker smile. Never had that before. In fact, when my lips looked a bit puffy, smiling always helped! Now, I look OK not smiling, albeit a bit too full for my liking, but oh, again, the smile. It's not only joker like, it's uneven and there are visible white lumps in the meat of my lips. It's been five days post treatment, the swelling is down and I'm wondering what to do. Since I'm nowhere near my regular, trusted doctor, I'm freaking out. The doc I went to here was sooo considerate and careful, studied my face, talked with me for a long time. All that. No hard sell. She did it once a month ago, using 1/4 a syringe. Beautiful! My lips looked better than ever! I trusted her. So this time, I know she didn't mean to mess this up and she wants to help but she does not believe in hyaluronidase, and worries it's bad for one's body, dissolving your own natural collagen. My trusted doc says that's absolute rubbish, and from my own experience, it worked like a charm. However, it was only in one spot. Not throughout my entire top lip, like now, which frightens me. Ugh! I don't know what to do. Feeling insecure about smiling is not good for one's mental health AND, I've had to cancel work next week. That makes me very sad and is bad for my career. I thought a few pokes for a top up, 12 days prior would be fine. I was wrong. I could fly to my trusted doctor, and get this dissolved (my husband would be really annoyed by that expense, but he'd allow it since I'm upset) OR I could instruct my doc here to dissolve. I'm not sure what to do. She has used hyaluronidase, but only in extreme cases, she said, and the head plastic surgeon is against it. Anyway, she seems nervous to dissolve it and I'm new to this area -- would seeing a dermatologist be a better bet regarding the hyaluronidase? Does anyone know of a person here? I just wish *she* could fix it -- I know in the right hands, it's entirely possible. Thanks for anyone's help on this.

Hi, Brighid- I posted just before you about not being happy with the Resty in my lips. I ended up not having it dissolved as I had planned. And now, two weeks since I had it injected, I am happy with my lips. They are nicely plumped, but my duck bill / trout pout (that extended over my bottom lip) is gone. In my case, the swelling was uncommonly intense- maybe this is the case for you too? My doctor prescribed a steroid pack (4 days) that reduced my swelling SIGNIFICANTLY over-night. My experience with fillers (eyes / lips) is that the "down time" has always been longer than the PS informed me, and longer than the general impression I get from reading on this site- and I’m a healthy active person that does everything “correct” regarding prep and home-care. For me, swelling lasts a week, not a couple of days and bruises last 2 weeks (or more) not a week.
Phone your doctor and have a prescription to reduce the swelling phoned in to a pharmacy for you. I looked ridiculous until I took those meds. Now I am quite happy and even surprised that I AM happy because I was SO unhappy those first few days. I suggest you take Tylenol PM so you can sleep well (heal well) and sleep on your back with an extra pillow to elevate your head. Drink plenty of water throughout the day and go for brisk walks to keep your circulation / metabolism active. I walked at night for a few days. : )) HTH

I got resty today and I am deeply upset because I have a huge upper lip duck and trout combined but not only that i find it so painful to say my vowels or even to touch it..my boyfriend hates it and unfortunately that doctor only comes around once a month..even tho I kept saying I didnt want trout pout he gave me several shot in my upper lip and its not protruding over my bottom lip and now i have a very distorted looking face..can anyone tell me why is this painful?

I just read through all the posts here, and I appreciate everyone that shares their experiences.

Ten days ago I had Resty injected in my upper lip area for vertical lines and to add definition to my upper lip line. Next week I'm having it dissolved because I do not like the look (my doc is on vacation this week). Sadly, I'm currently rocking that telltale Meg Ryan joker smile look. (Sorry, Meg.)
I gave it a week for the swelling to go down, but it's just fundamentally not a good option for my face contours and my smile.

I've had Resty under my eyes twice in the past two years and have had excellent experiences and satisfaction. My PS is skilled, and I trust her. I'm hopeful that the procedure to dissolve will go smoothly; I will ask her to do a test on my arm first. I'll post back with an update on the experience. I'm ready to get my thin-lipped natural smile back, pucker lines and all.

Help! I just got injected with Restylane yesterday and I think it was a HUGE mistake. The lady who did it (a physician's assistant who makes house calls) convinced me that the way to get rid of my nasolabial folds was to inject the filler to my cheekbones,and she injected what felt like a lot. Well, now my face looks puffy and weird and uneven. She came over to check on it last night about 12 hours after we'd done it and she said not to worry, it would go down and she'd check on me in the morning, but now even though it hurts less, I feel like it LOOKS worse.Some of the restalyne has migrated up under my eye, but not the whole area, so it basically just looks like I've had a terrible allergic reaction to something. Help!!! I iced last night, but it's still puffy and scary. She used 1 cc of the stuff...was that too much?

I believe the reason why you are only reading negative experiences is because the people don't write back to report on the final outcome which is usually the case. Also, those that are usually pleased do not share in forums. I would suggest you find a good pratitioner that is willing to spend some time with you as a consulation to answer your questions and concerns. It is not unusual for my female patients to be concerned that they may have too much product resulting in an unnatural appearance. Your treatment plan should be developed with your input, your goals, and a clear understanding of what your final outcome should be. Ask questions! Lori Haney, RN, MEP-C Certified Medical Laser Safety Officer

Hi Kaelyn, I'm hoping that your practitioner provided you with good verbal and written post-treatment instructions that should offer reassurance. Intermittent icing with frozen pea bags will help, consider using Tylenol for any discomfort, and I would strongly discourage any massaging as lips are known for delayed bruising and more swelling if the patient manipulates the area too much. If you do not begin to see progressive, gradual improvement, call your practitioner for further advice. Lori Haney, RN, MEP-C Certified Medical Laser Safety Officer

i just got my lips down yesterday. the top one is swollen and stiff, the bottom one has a bruise under the lip, and inside the lip. as i read other peoples post they say the swelling will go down, and not to take advil? i need to be reassured, what advice do you have for me?

As many commented below, give it time. Try not to panick.

Lip augmentation with injectable fillers such has Restylane or Juvederm is common today. The lip naturally swells & bruises from the injection. Most of the swelling, which contributes to the trout pout, goes does within a day or so, but sometimes longer.

Lip exercises and ice packs help reduce the swelling. After several days, if you are still unhappy with the lip size, you have 2 options after hyaluronic acid injection. Either wait it out, as your body naturally absorbs and breaks down the injectable filler. Another option to consider is using hyaluronidase, a material which accelerates the breakdown of hyaluronic acid.

If too much restylane was placed into your lips or any other part of your body, the effects can be easily reversed with the use of another injectable drug called hylauronidase. Most physicians who use this product generally keep this material on hand for just that reason. It is safe and does not require much time. A quick injection into the overfilled area is all that is needed.

I had restalayne injected into my nasal labial folds and I see a Big difference in my nose- is it possible some of it creeped into that area while being injected? I now ha d a ball at the tip of my nose and extra puffines around the bridge of my nose and its almost a year later. Has anyone else experienced this? im concerned that since i dont move my nose much there is no way to get rid of it beyond nose surgery (which i ain't having) thanks and happy smiling!

I still haven't gotten a response on why I developed bags under my eyes after getting restylane in the tear troughs. It's been 3 years and I still have bags. Looks awful. I always look tired and I am not

it was in London, its ok I now though I had the hyaluronidase injection which was fab, the product dissolved in an about 3 hours- what a life save. The injection is new here, its notthat common to use on the 'mistakes' that the Doctors make on lip, plus its expensive.

Hello Robert Thank you kindly for getting back to me I appreciate it. Im trying to locate your email so I can send you a photograph, I cant find it? Where is it? Iv also noticed that theres a tiny hole on the left hand side of the upper lip and it looks like a tiny blob of the product is seeping through, I just squeezes it and it looks like gel. Oh my gosh- whats that all about. I spoke to my doctor and he just said 'dont worry it'l be fine' Yes, well Im not so convinced abou that to be honest! I actually live in London, and the shoot was is in LA, Im so annoyed about this situtaion! Im abit happier to know that I can get rid of if, but you mentioned that it will take a while, how long exactly, please explain... Take Care Katy

i just had restalyne injections today. he put it in the area from my nose to my lips to make my lips higher (but i think it looks weird) and likke a lot in my top lip but not a lot in my bottom lip. i look so strange like a simpson character. has anyone actually had the hyaluronidase? does it really get rid of it or will i look worse? help.