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.
Is Being Told Not to Smile for the First Day After Restylan Injections and Swelling Normal?
Doctor Answers (12)
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).
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.
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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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.
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.
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 reason why a patient cannot animate their face normally following treatment. The hyaluronic acid filler does not have to “settle in”; it is located exactly where it was injected, and it should not migrate.
Filler longevity may vary based upon its location. Fillers placed in areas of the face that undergo significant movement (i.e. nasolabial folds) may breakdown more quickly than fillers that are placed in static areas (i.e. tear trough). Fillers placed in the superficial dermis may last longer than fillers placed deeper in the subcutaneous tissues. And of course, filler longevity is directly related to “complete correction” – achieving complete volume restoration in the anatomic area that is treated (the average volume to achieve complete correction of a single nasolabial fold at the time of initial filling with Restylane is about 1.4cc – based upon their clinical studies).
On a similar note, some doctors tell their patients to repeatedly contract the muscles that were treated, immediately following the administration of a neurotoxin (ex: they are asked to repeatedly frown following treatment of the frown lines). This may increase the uptake of the toxin, but has no effect on the quality or ultimate duration of the result.
Hope you enjoy your Restylane…if you have a nice result you should be smiling. Best wishes, Ken Dembny
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.
Smiling after Restylane?
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.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.