Bruising will subside with time

Brenda Dintiman, MD answers: How do I treat bruising after lip augmentation with Restalyn?

I had Restalyn injected in my lips yesterday. I made it clear to my practitioner that i wanted the results to be very subtle, that I was starting a new senior job next week and did not want to deal with any bruising or freakish swelling. They assured me that it would be fine and that I could even go out that same night. They also promised to be very restrained in how much they used - saying that i could always inject more later. Well, going anywhere is not a possibility and I'm really worried about my first week at work.

The biggest problem is the duck like appearance, an imbalance between my top and bottom lip and, most importantly, severe bruising which has turned the left side of my bottom lip black. Oddly enough my top lip is totally fine ( although they did do more injections on the bottom) I'm icing all the time, taking Benadryl and Arnica, and sleeping upright. I think the swelling will probably be gone by Tuesday ( start day) but I'm worried about the black bruising. It's even on my skin next to my lip. is there anything at all I can do to make the blackness dissipate? I can't even cover it with concealer. Does anyone know of any make-up that can cover black and blue lips? It almost looks like they're bleeding black and blue


Brenda Dintiman, MD
13 months ago
By Brenda Dintiman, MD - Fairfax Dermatologic surgeon

Bruising is a commong problem when injecting the lips.  Over the years I have found that it is very important to avoid aspirin, ibuprofen, alleve and other anti-inflammatories for at least a week before your treatment.  Alcohol, vitamin E supplements and gingko can also make you bruise more easily.

Regardless of the technique, bruising is common and you are doing the right thing to ice and take benadryl for the swelling.  The swelling seen with Restylane will subside over the first two days.

Try to find a color stain lipstick such as Revlon's colorstay that stains the lip and hides the bruising then apply a gloss on top. Hope you look great!

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