What Might Affect the Amount of Swelling and Feel of Restylane in the Lips?

I have had my lips injected with Juvederm and Restylane many times, always by the same nurse. I never had severe swelling in the past. This is the first time my lips are sore, and this time i feel the product in my lips. One side of my top lip feels like it has a huge lump in it.. I have scheduled another appointment with her to check the results this Saturday. I am worried and wondering what could have caused such different swelling and hardness.

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lips swelling reasons

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7 Doctor Answers | Asked by Jesse's Girl 723

Doctor Answers (7)
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Lips and Restylane swelling

Although it is hard to tell without seeing you, you're doing the right thing by following up with the provider. It's likely what's expected after injecting any dermal filler, swelling and tenderness, and if your provider is well-trained and experienced, they'll know whether or not you need correction or just time for the product to settle in.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Re-evaluation by your injector

I think being re-evaluated by your injector is a great idea. The area around the mouth is a very vascular area prone to more bruising and swelling. They will be able to determine if the swelling is simply from a hematoma (collection of blood) or a true collection of product resulting in a lump. If it's product, it can easily be melted with hyaluronidase. Good luck!

Sabrina Fabi, MD

14 reviews

San Diego Dermatologic Surgeon

www.gbkderm.com

Several Things Could Affect the Amount of Lip Swelling After An Injection of Restylane

There are 3 likely possibilities. First, it may just be that a bit too much filler was injected into the area with the lump. If this is the case then some Hyaluronidase could be injected to dissolve the extra filler. Second, it is possible that there is a small hematoma present. Time will take care of this. Finally, with the swelling and tenderness, you could be developing a fever blister in this area. If that's the case, an antiviral medicine would help. Your injector should be able to tell... more

Technique can affect swelling and bruising, as well as some medications

Technique is definitely the first thing that affects swelling and bruising. The lips are indeed more prone to swelling and bruising than other areas. So if your injector poked you a lot of times to get the filler in, that can lead to more bruising and swelling. Additionally, if you've had fillers before your injector may have been trying to compensate for fillers already in there and fill different areas. This can lead to you being able to feel it more, or different, or overfill an area....... more

Lumpy lips

As the others have said, technique is important. For the most part, those with some training can do well most of the time when something simple is being done and not have a problem. However, when problems occur or the situation warrants more expertise, you can get into trouble if you do not have an experienced injector. Dermatologists and plastic surgeons that do this usually have a lot of experience with the tissues and the anatomy of these areas as we have dealt with them surgically.... more

Swelling after Restylane in lips could be a small collection of blood, of product, or related to the injector

Technique is so important when injecting lips with dermal filler. It is the most unforgiving area because a little issue can be very obvious, unlike the marionette or nasolabial area. I feel that the less trauma you cause when injecting, the less downtime the patient has and the happier they are. In my hands, that means using blunt cannulas. There is less bruising and swelling when injecting with the cannulas. In your particular instance, you need to see you... more