Dealing with the Aftermath of 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 process up as it will only make it worse.  Concealing makeup can help and have patience!  It will get better.

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

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 some time. If the blocakge is deeper, more significant breakdown can occur and the area may scar. Many doctors do not recognize the more superficial cases like yours. The good news is that they nearly all resolve without any problems. I hope you are doing well.