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Big Mistake: Restylane in Lips from Different Doc: Uneven Smile, Strange Lumps

asked 10 months ago by SallyAnne
Latest answer by Grant Stevens, MD
Question viewed 670 times
Tags: botched, lumps, options, uneven

Needed a touch-up on my lips. Away from home, went to different doc. She used less than 1/2 a syringe, mostly in top lip & a spot on my bottom lip on one side. She said the previous resty had dissipated unevenly. There's now a big lump, a black bruise & fat lip there. I went back today, she saw the problem & massaged. Now bottom lip looks fatter, blacker & lump still there. Should I fly back to get this dissolved if it isn't better in a week? Have to be on TV in 10 days! I want my trusted doc!

UPDATE: A month ago I had Resty in my lips w/the above results. Luckily my TV appearance was delayed for other reasons (thank god), so I didn't dissolve. But it's been over a month & my top lip remains uneven & thick, not me. My regular doc always enhanced my natural shape but he's out for a month:( I have pictures for an appearance in 3 weeks & I'm not sure what to do. I don't look ridiculous but TV is unforgiving. I fear a tiny amt. of dissolver could make things worse. Advice from LA docs? Thanks!

15 answers to Big Mistake: Restylane in Lips from Different Doc: Uneven Smile, Strange Lumps

+1

Big Mistake: Restylane in Lips from Different Doc: Uneven Smile, Strange Lumps

The main question is what do we need to do to get you camera ready. The bruising will go away. The Restylane can be dissolved. New Restylane can be injected. Makeup can be used. You need a well thought out plan that makes sense. A photo would be helpful.
+1

Restylane for the Lips

Most of the bruising will resolve by the time you have to be on TV and any residual bruising can be covered with makeup. If your lips look unbalanced, this should be addressed before you go on camera as you do not want to draw attention to it. Because I have patients in my practice who need to be 'camera ready', there are a couple of things that can speed up this process.
+2

Uneven Restylane in Lips 10 Days Before Upcoming TV Appearance

Hi Sally Ann, Sorry to hear about your misadventure in injectable land. Unfortunately bleeding and hematomas can occur even with the best injectors. There are some precautions that can be undertaken to help minimize bruising that an experienced injecting physician will use. If you are concerned about your upcoming television appearance, please email a photo, I will evaluate it, and then contact you. It is not necessary to travel back to your original injecting... more
+2

Restylane injections for lips

Restylane is a very safe and forgiving product for use in the lips. From your description it sounds as if you are suffering from bruising which is a known complication with any type of injection. Since there not much one can do for bruising except for covering it up I would just wait it out. For future make sure you avoid any and all products that promote bruising prior to your filler visits such as aspirin, advil, vitamin E, and various nutritious... more
+1

Fixing what went wrong

Greetings SallyAnne~ Fortunately or unfortunately, we are very familiar with situations like this. I really feel that the best way to go in cases like this is to dissolve the material that is there and start from scratch. It can be quite difficult to say the least to fix someone else's mistakes and rather than chase them with more product and potentially make them worse we are better off just starting anew. Waiting for the product to dissipate on its own may take a... more
+1

Restylane - Big Mistake: Restylane in Lips from Different Doc: Uneven Smile, Strange Lumps

At this point, I would suggest that you just sit tight and let it work itself out. You have now had two procedures to your lips in a relatively short period of time, and each (and any) such procedure is associated with the potential for bleeding, bruising, swelling, and irregularities. Particularly since you went to someone new, it's not totally shocking that you've had a different experience but - frankly - this can happen with any injection, any time, from any physician... more
+1

Restylane to lips can cause brusing or hematoma that will resolve.

It is tricky to go for a "touchup" to a new doctor in a new town where you don't live. In the future I would recommend waiting to see the doctor you trust. Bruising or hematoma (collection of blood under the skin) is always a possible risk from any injectable treatment, and it will resolve, hopefully in time for your TV appearance in 10 days. People sometimes miscalculate the risk to injecting lips. There are large blood vessels running through the lips, and the lips are... more
+1

Should I reverse Restylane?

Hi Sallyanne. You have a few options. First you can do nothing and hope that with messaging that the unevenness will go away and with time the bruise will dissipate as well. If you want to be more proactive, you could of course get the injections reversed as you suggested and this will return your lips to the way they looked before. You should be able to do this where you are or at your normal injector's office. Finally, we use pulsed dye lasers in cases that... more
+1

Treat the Bruising and Swelling First

It sounds like most of what you are dealing with is bruising and swelling from the injections. This can happen! I recommend waiting a week and in the meantime, get yourself some Arnica homeopathic pills from the healthfood store. These pellets are dissolved under the tongue 3 tiems a day and will help you heal more quickly. Also get the Arnica Cream or Gel, and use that at least several times per day. After a week you should be healed and you can better assess... more
+1

Bruise after Restylane

you probably have had some bleeding from the needle stick and need to wait until that resolves before doing anothe injection
+1

Uneven smile from different doc

First and foremost, don't panic. Bruising can happen any time with injections of fillers and it can last one week or longer. It can easily be concealed with makeup. The swelling will disappear within a few days to a week. The lumps are a different matter. Fortunately, they can often be unnoticeable even if they are palpable. You may be able to look good on camera even with tiny lumps. After your camera session, you can have them injected with Hyaluronidase, or if... more
+1

Be patient, swelling and bruising after fillers will resolve

Be patient, swelling and bruising after fillers will resolve. If you truly were uneven before your treatment, and the doctor had to inject more in 1 area, that area will swell more. Bruising can also cause an area to swell more and therefore make you look uneven. I always warn my patients, during their treatment, not to judge their results during the week after their treatment, as swelling and bruising can alter appearances. As for your TV appearance, most swelling and bruising resolves... more
+1

Lumpy in California

The bruise is the issue. stop injecting. wait a few days and re-assess. makeup, especially professinal, can do wonders. next time stick with the doc who normally injects you. they have already "learned" your face. good luck.
+1

The bruise can persist for a week or more.

SallyAnne The biggest concern I have for you is the lack of a balanced treatment. The bruising could be hidden with make-up and lipstick. However when the upper lip is primarily treated, it will look too big relative to the lower eyelid. This will make you look like you have had filler-it's a bad thing. Considering you are going to be on the air in 10 days, this is a circumstance where I would recommend enzyme to take out volume and a short course of... more
+1

Big Mistake: Restylane in Lips from Different Doc: Uneven Smile, Strange Lumps

Sorry for your issue. Any injection can cause ecchymosis. It is rarely the injector but a very inexperience or sloopy injector could be the reason. Hope things work out.

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