Is Being Told Not to Smile for the First Day After Restylan Injections and Swelling Normal? Doctor Answers, Tips
Restylane: Q&A
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Is Being Told Not to Smile for the First Day After Restylan Injections and Swelling Normal?

I just got my first injections of Restylan from my nose to my mouth, cheeks, verticle lines in upper lip and drooping lines at the corner of my mouth. I am noticing alot of swelling, is this normal and how long will it take to disapear? My dermatologist told me to refrain from smiling for the first day or so to let the Restylan settle in. Is this normal? Does it realy make a difference to refrain...hard to carry on conversations today with such a serious look. Curious.

12 Doctor Answers | Asked by riley17
+1

Restylane and swelling

It's not uncommon for you to have a fair amount of swelling and/or bruising post dermal filler treatments...and the feeling of fullness. I don't think it can really hurt the product (for you to carry on regular conversations, however).
+1

Not smiling after fillers

Not smiling after fillers is a hard thing to ask of people and I don't do it. That said, it probably wouldn't be the best idea to go to a comedy club the night that you were injected as there may be very slight displacement of the filler. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.
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To smile or not to smile after Restylane

I think those instructions are not practical and not helpful and quite surprising - similing, eating, laughing, making faces are unavoidable and I have not heard anyone else telling patients to refrain from smiling after inections with Restylane or any other products.

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+1

Fillers and smiling

Every injector has their own routines and directions for patients. However, not smiling is highly unusual. You should call the injector to clarify the instruction.
+1

Fillers and smiling

I am not quite sure why your doctor does not want you to smile after the procedure. It should be fine and should not impact the placement in my opinion.
+1

Hyaluronic Acid Fillers Do Not Require Specific Activity Limitations Following Injection

Everyone experiences swelling after hyaluronic acid filler injections. There is likely to be more swelling when larger volumes of product are used, and/or if more injections (needle pokes) are used to administer the product. The swelling is likely to resolve in about 2-7 days depending upon the above. If you experience some bruising, your swelling will persist a bit longer compared to if no bruising occurred. Cool compresses are helpful for the first 24-48 hours. There is absolutely no... more
+1

Smiling after Restylane injections

There is no apparent rationale for being advised not to smile after Restylane injections that I am aware of. Some degree of swelling is normal after Restylane injections and will resolve in most cases in just a few days.
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Smiling after Restylane?

I've never told a paitent not to smmile after Restylane. It would have no effect on the effect of the product. If you swell a lot, then smiling might be uncomfortable. I hope your doctor advised you to apply ice packs during the first 48 hours after treatment to help reduce the swelling. Keep smiling and hopefully the swelling will go down quickly!
+1

It is a goofy recommendation.

It is very unlikely that normal facial movement such as smiling will cause the filler to migrate. Sometime doctors give advice that is not evidence based. And of course if the result is not to your likening they might even asked if you smiled after treatment! This is harmless advice. Goofy but harmless.
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Restrictions after Restylane injections

Everybody practices a little differently. I don't restrict activity in my patients, as it is impossible to walk around with a stone face. Life is too short! Swelling, however, can be quite significant, and shouldn't alarm you. Of course, your injecting physician is the best source for answers to these questions.
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Smiling restrictions After Fillers? Smile Away!

I am not sure what the logical basis is for restriction of facial activity after fillers. There is no scientific data to back up this post-treatment instruction and this is not advocated in my practice.
+1

Smiling After Restylane Injections

I typically do not tell my patients to refrain from any specific facial expressions after filler injections as I do not feel there are any adverse effects from smiling, etc. I also think it's impossible to follow those directions so why make patients feel badly when they smile? The typical side effects associated with hyaluronic acid injections such as Restylane include bruising, redness, swelling and pain. These occur in as high as 90% of patients and usually resolve within one week. It... more
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