Pain is a concerning sign and recommend you contact office where you were injected and be evaluated. I agree with my colleagues below, you want to see a physician that has formal training in the anatomy of the face, this includes specialties such as dermatology and plastic surgery. In my opinion, those who take weekend or crash courses are not going to have the same level of understanding as someone who has gotten years of formal training.
How to treat bruise in lips after juvederm and pain?
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Fillers are medical devices and should be done by doctors whose specialty provide study of the human facial anatomy and the muscles of the face, their function, and the blood supply to the face and the location of the major vessels. An ""Injector"" does not necessary have that type of extensive training, and many medical specialties do not have that either.
Having said that, complications can happen, the important part is to be able for the doctor to be available, and treat or refer for the appropriate specialty any complications.
You prolonged pain,, is not normal. Call you doctor to be seen ASASP
Best Treatment for Pain and Bruising of Lips 4 Days After Juvederm Injection
Pain is not normal after Juvederm injections in the lips, especially when it lasts for 4 days and is accompanied by big black bruising. You need to see your injecting physician immediately, this may be vascular compromise. The treatment includes injecting hyaluronidase to dissolve the filler, aspirin, and other modalities. Good luck and be well.