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Dealing with the Aftermath of Juvederm

asked 11 months ago by rosieh
Latest answer by Jacqueline Calkin, MD
Question viewed 1,646 times
Tags: 1 week post-op, bruising, swelling

On Monday I put Juvederm in my bottom lip.The nxtday my lip was black&blue inside&VERY swollen on the bottom right. I took vitaminE ystrday&2day.Ystrday I cut a capsule of the vitaminE 2 put on my lip&now I have white tiny pimples ontop of the bruise. I've started2use Polysporin instead.1st 2-3 days it was very painful, I was drolling&coudlnt tlk.I also began drinking pineapple juice. I rarely evr bruise from Juvederm.2day dosnt feel as bad as the 1st few days, how long will this last?

15 answers to Dealing with the Aftermath of Juvederm

Lip issues after Juvederm injections

IMHO, you should return and see the Md that injected the Juvederm into your lip for evaluation, follow up and possible treatment.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Dealing With the Aftermath of JUVEDERM

JUVEDERM is a popular dermal filler that is available in two thickness/viscosity. Like any dermal filler, the results are determined by the injector, i.e., their technique, choice of product thickness and amount used. The patient’s skin texture and thickness/thinness and the physical structure of the area being treated also plays a large role. Dealing with the Aftermath? Should you receive results that are not pleasing to you, there is a product called... more

John W. Bass, MD
Phoenix Plastic Surgeon

How long does bruising last after Juvederm?

The worst case scenario would be to expect about 7 days of bruising and swelling in the lips. Vit E capsules should be avoided as these act as a mild anticoagulant and can make the bruising worse. Polysporin can come with a mild topical allergy and further irritate the lips. Back off of all the attempts to shorten the window of bruising and use something simple like ice and give it time. It will absolutely improve. Don't seek further procedures to speed this... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

This does not sound like simple bruising but a vascular occlusion.

Your story is classic for what happens when dermal fillers incidentally compromise the blood supply to the skin or mucosa ( inside skin of the mouth). Initially you will see blue /black discoloration, swelling and pain that is out of proportion to the expected post procedure pain. If the blockage is superficial, tiny pustules develop on the surface and are often misdiagnosed as signs of an infection (herpetic or bacterial). Within 7-10 days the area will heal although is may remain red for... more

Jacqueline Calkin, MD
Sacramento Dermatologic Surgeon

Lip Bruising After Juvederm will resolve spontaneously - Ice Packs Help Initially

I want to reassure you that bruising after Juvederm injection to the lips can happen and will resolve completely in 7 to 14 days. Next time, ice pack application to the injected areas for the first 24 hours can be very helpful. You do not have to do it all the time; just fifteen minutes of every hour should be fine, until you go to bed. Avoid taking aspirin, ibuprofen, vitamin E for seven to ten days prior to the procedure. Also, if whitish blister-like lesions are appearing at the site of... more

Leyda Elizabeth Bowes, MD
Miami Dermatologic Surgeon

Bruising following lip injection can usually be prevented with pressure and ice packs.

Bruising following lip filler injections can usually be prevented by applying pressure immediately following the treatment and then applying ice packs for 5 to 10 minutes. If you are going to have lip injections, do not take aspiring or ibuprofen or other medications that cause bruisingut for about one week prior to the treatment. Now that you have bruising, it will go away in a week or two. if you can take some arnica Montana, available at health food stores, to... more

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon

www.gatewaylasercenter.com

Vascular Compromise After Lip Injection

Hi Ros, You should be seen by your injecting physician immediately! You are having signs of vascular compromise. Whenever there is unusual bruising accompanied by blistering, swelling, and pain, patients need to see their physician immediately. I hope that your lip recovers. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Bruising and swelling with Juvederm

Bruising and swelling is uncommon when Juvederm used on the nasolabial folds but is much more common when injected into the lips. Everyone is different but typically it can last up to 7 days.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Bruising following Juvederm

Bruising is a common occurence following any filler injection in the lower or upper lip. Taking aspirin, garlic, ginseng, ginko, vitamin E etc, can make it much worse. Therefore you probably added to the problem by taking vitamin E systemically (Swallowed the pill). Topical vitamin E can be irritating. Polysporin is a common allergen. Some Dermatologists, including myself, have stopped prescribing Neosporin and Pplysporin, due to the high incidence of allergic reactions. We use... more

Eugene Mandrea, MD
Chicago Dermatologist

Complications of lip enhancement

The presence of small "pimples" in the area of injection can be a herpes eruption (cold sore). That needs to be treated with anti viral medications. Most likely the pain you are experiencing is a combination of the hematoma and a herpes breakout. Please see your doctor as soon as possible to treat both. Patients with a history of cold sores need to be prophylaxed with an antiviral medication, like acyclovir, valacyclovir or famacyclovir. Bruising... more

Emily Altman, MD
Short Hills Dermatologic Surgeon

Bruising after Juvederm

Bruising after a filler, such as Juvederm, can happen especially in the lips which are very vascular. Vitamin E does have some anticoagulant properties so I would recommend you discontinue that. Regarding the pimple, perhaps the oil from the Vitamin E capsule caused some occlusion inducing an acne like lesion. Bruising typically lasts several days to a week and generally has to run it's course since there is little one can do to speed it's resolution, a little cover up shouldn't... more

Ted Brezel, MD
Long Island Dermatologist

Problems after lip filler

This may be more than just ordinary bruising. You may have a herpes cold sore, or some of the Juvederm may have migrated into a blood vessel and caused a blockage. I suggest you call the doctor who did your treatment and be seen today before the start of a long weekend. That amount of bruising, white bumps, and significant pain are concerning. If you were my patient I would tell you to drive right to our office now. Good Luck, Yoash R. Enzer, MD more

Yoash R. Enzer, MD
Providence Oculoplastic Surgeon

www.doctorenzer.com

Lip filler

The lip is very vascular and whenever a needle is inserted one can hit a small vessel and will result in bruising. Bruising in the lip and eye lids is more common than other areas. Just ice and elevation of the head. Have your surgeon see you ASAP to make sure no hemetoma that need aspiration.

Samir Shureih, MD
Baltimore Plastic Surgeon

Pulsed dye laser for bruising

Unfortuantely bruising after hyaluronic acid fillers in the lip is very common. I would not recommend using Vitamin E for bruising or swelling because sometimes this can worsen the bruise. In addition, I try to avoid over the counter antibiotic creams because they commonly cause allergies. Two of North America's top 10 allergens are found in those over the counter topical antibiotics. The oily nature of the Vitamin E and antibiotic products likely created the... more

Daniel I. Wasserman, MD
Naples Dermatologic Surgeon

How long does bruising last after Juvederm?

Despite our best efforts, anytime a needle is placed through the skin, a bruise is possible. Should you develop one, it will take about 7-10 days to resolve. Depending on where the bruise is, it may be possible to treat the area with IPL and shorten this duration. Check with your physician to see if this is a possibility.