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Too much Restylane lips - trout pout!

  • JulieBe
  • 7 years ago

 too much restaylne was put in to the lips. Way too big.....Anyone else have trout pout? What did you do to get rid of the fill?

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If a patient feels their lips are too large after injections we can inject Vitrase and it will break down the Restylane. This will bring the lips back down to their original state.
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Restylane Lip Swelling Recovery Timeline Hi All, I thought I’d share my experience with Restylane because other people’s contributions have been super helpful for me – thanks! First of all – watch out for doctors who have a laissez faire attitude and seem to minimize any kind of recovery period for any cosmetic surgery procedure. That’s BS and unethical, in my book. Second, if any doctors are reading this – get over your ego. This is another thing I’ve seen way too much of in the cosmetic/plastic surgery world – doctors who take so much pride in what they do (good) that they are egotistical (bad) and go into denial if a patient is unhappy with their results. The patient is crazy, it’s the patient’s fault – BS! Own it, doc, if you mess up, or else – how are you ever going to get better at your craft? Ok, so my story. I’m 48 and all my friends around my range seemed to have gotten “something” done by our age – fillers, Botox, peels, etc. I had never done anything. So first foray was Botox. I went to a plastic surgeon to have it done, and - I’ll call him/her “they” - did a fine job. I am conservative and like a natural beauty look. They just did a bit in the between the brow frown line. (Sorry I don’t know how much they used – an example of they’re not being adequately transparent with me – red flag.) The Botox is amazing – super cool. I was quite pleased with the results and got the compliments of, “You look so young,” or “You look good,” without people knowing what was done. That’s how it should work, right? So, the other thing that was bugging me were these vertical lines starting to form on my upper lip – lip lines I guess they are referred to. One side was more pronounced. I went back to the same doc and said all I want is to decrease those lines. My smile lines don’t really bug me, even my crows’ feet don’t really bug me, but those lip lines do. They suggested Restylane because it’s lighter or something like that, but they said the downside is I need to buy a whole vial. They were straightforward there. Good. I asked what the recovery time was and if I could go to work the next day. The nurse piped in and said I could, I just might have to wear dark lipstick. The doctor said no problem, I might be a little swollen, but no one will notice, that results are immediate. For some reason, I think they felt pressure to use the whole vial, so they filled in the area pretty much along my top lip line, the vertical lip lines, the smile lines on each side of my mouth, and a couple lines on each cheek. In the office, pretty much right after the procedure, I started to swell a little and in the mirror I did look like one of those Hollywood actresses who’s had her lips done. I said this to the doc and they said the swelling will come down. I did have red dots from where the needles went in and was already starting to bruise a bit, so I got some foundation from the nurse (which I didn’t have because I never wear it.) I felt embarrassed leaving the doctor’s office, but another patient who was there at the time said I look normal. So, here’s a timeline to describe what happened next: 5:00 pm – Had procedure done 5:15 pm – Driving home, picked up a frozen bag of fruit at the store, which I held against my face, padding the areas treated as I drove – this soothed it. 7:00 pm – I’m starting to swell to a degree where I didn’t want anyone to see me 7:00 pm – 9:00 pm – I’m icing with ice in zip lock sandwich bags and a wash cloth to collect any water leaking. I’m icing as much as I can as long as it feels ok (knowing I’m still a bit numb from the numbing cream they put on before the procedure.) 10:00 pm – I'm pretty swollen and starting to freak out a bit, but reading the message boards, especially from the doctors who are more realistic and up front that Restylane on the lips can cause a lot of swelling and that it varies from patient to patient. 10:15 pm – I got to bed with my head on five pillows to keep it elevated Middle of the night – 1:00 am – I wake up, look in the mirror and I look like a duck, or Octomom, or a super scary Hollywood actress/rich woman with a lot of really bad plastic surgery. I start freaking out. I keep icing and I'm up for another two hours reading message boards, notes from plastic surgeons, reading about how to undo the stuff. I’m freaking out and cursing my vanity and asking how I can possibly go to work the next day and face my co-workers and the world. Day 2 - 4:00 am – I wake up again and the swelling is so bad I don’t want anyone to see me. I call in sick to work (thankfully not a super busy day, though I have a very demanding job, so missing work is also adding to my anxiety.) I keep icing and reading about Restylane recovery online. I decide to not eat anything that causes water retention as this could make the swelling worse. Not easy! I juice watermelon, make a bunch of green, vegetable juice. I also read (later) that papaya and pineapple are really good post-surgery to reduce swelling and bruising. My cheek and area above my lip are bruised. 8:00 am – I can see that the swelling is starting to go down a bit, but I am still embarrassed to be seen. Anyone looking at my face would say I look weird and scary. I keep icing throughout the day – on and off as long as I can’t stand it. Day 2, Noon – swelling is not as bad, but I still look weird. 24 hours post-procedure - 5:00 pm – I feel less embarrassed going to the grocery store and being seen. People who don’t know me probably wouldn’t notice anything, unless they’re women my age who’ve done through this or plastic surgeons or doctors who wonder which of their brethren screwed up my lips! I keep icing all evening, on and off. 10:00 pm – I ‘m looking a little more normal, but still swollen, still funny looking and I’m wondering when this will end. 36 hours post-procedure, Day 3, 5:00 am – I wake up – still red bumps, still bruised, still a bit swollen, but I look more just generally puffy than someone who’s had something unnatural done to their face. For the record, I’ve lost a couple pounds of water weight from mainly juicing the day before, so, I know I'm not retaining extra water weight. I think this really helped matters. I can’t imagine if I’d eaten a bunch of starches the day before. The all juicing was not easy, let me tell you, but I do believe it helped – though of course, this is an amateur opinion! I’ve heard eating a lot of protein can help too. I am calling in sick Day 2, but happen to also have a bad cold now, so I don’t feel as guilty about doing this! So, all in all, I can’t yet say I’m happy I did this. I still look weird to myself, not better how I had hoped. The doctor did not properly set expectations. Now that the swelling has come down, I can’t say that they used too much Restylane – it remains to be seen. But they should have said to plan to take a couple days off work and preferably before a long weekend and set better expectations about the scary swelling. Hope this helps some of you!
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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.
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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 ..
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Hi please can you tell me where you had the injections to reverse the effects if your lip filler I have the same problem but the person who did them doesn't even know about the reversal procedure so I need to find someone in England. My main problem is the corners (they tilt up like the joker) and swelling beyond the top lip line into my moustache area ( thank go I don't have a moustache too or ild be a gonna lol) ild really appreciate your help and advice Lisa x
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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:)

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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. : ))
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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.

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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
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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?
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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.
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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?
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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

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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

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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?
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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.

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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.

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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!
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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
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Dear Kiana, It is very unusual to have product (Restylane) last three years in this area because the typical time frame is 6 to 9 months. The initial problem may have been from improper placement of the product. By performing tear trough proccedures too superficially, the outcome may look like "bags" under the eyes. The most concerning question is whether or not you reported this to your practitioner and what you have done in the last 3 years to address this problem. I would encourage you to be proactive in addressing this with the person that did the procedure to determine if there is another underlying problem that re- quires evaluation. Good Luck. L. Haney, RN
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The restylane did not last 3 years. What has lasted is the bag looking area just below the tear trough. I actually had the restylane dissloved about 3 weeks after the intial visit but it has been 3 years and I still have the bags. I was advised to try Obagi. I was also advised to try Sculptra since it would stimulate collagen and might fill in that area somewhat. I am at wits end at this point. Any suggestion as what to do to improve the skin short of doing lasers.
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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.
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Hiya, please can u tell me where in london you got the hyaluronidase injection done- the doctor who did my restylane doesn't have it and i have not managed to find a doctor here who will give it to a patient that they didn't treat in the first place!
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Hi Katy could you tell me who in London fixed your problem as I'm in desperate need as I'm currently sporting a cross between meg Ryan and the joker Kind regards Lisa
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Hi did you find out who it was in London and if so I hope it worked for you and hopefully you wouldn't mind letting me know who it was as I'm desperately trying to find someone too cheers Lisa
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