Is It Normal To Have Massive Swelling And Bruising After Juvederm Ultra XC Injected into Lips? (photo)

You need to stop using of your supplements and topical preparations. Just recently, I had a patient who was allergic to the preservative in arnica. Is your tongue swollen as well? Do you have a rash anywhere else? Those things can also point to an allergic reaction. Either way your physician needs to see it. He could suggest oral steroids. Swelling and bruising from juvederm are expected. Make sure to discontinue aspirin and ibuprofen and avoid alcohol since this could worsen bruising and swelling.

 

Thank you for your question. It is very common for the lips to look
over corrected or fake the next day. This is due to all the swelling
that ensues. I often tell my patients that this
is the "oh my gosh" day. It can be 'oh my gosh' my lips are so
swollen! It could also be 'oh my gosh' I love my lips even more than
yesterday. Either way, the swelling may last a few days with every day
showing a decrease
in swelling. The more you ice the first day or two, the less swelling
you will have. I would wait a few days to a week and then return to
your injector if you still have concerns after that. If you like the
look of the lips at some point during the swelling reduction, then take a
picture. This way you know what volume you like in the lips for the
future.

This is most likely the result of swelling and bruising from the injection of the Juvederm. Everybody reacts differently, and we all swell differently. Please be rest assured that in a week or so, everything will normalize. If it does not, then you may have an allergic reaction to the product, but this is highly unlikely.

No it is not "Normal" to have Massive swelling after Dermal fillers but we always expect some swelling after trauma to the lips.  Bruising can happen as well but there is no way to predict who is going to bruise unless you were on blood thinners prior to the injections. You need to follow up with your doctor, of course. But rest assured It will more than likely resolve in a few days whether you do anything else or not.      

Swelling is totally normal, but you clearly have more swelling than normal. It is unlikely to be an allergic reaction as this is very very rare. You should call your plastic surgeon - even if it is Easter! You may benefit from a short course of steroids to decrease the swelling.

We treat many patients daily with Juvederm in our Orange County office, including many lips.  We frequently see swelling but it is not typical to swell as much as you are showing in your photos.  Some people are just "swellers", whether its laser, fillers or surgery, they just swell a lot.  As a dermatologist, I am very familiar with contact dermatitis from products applied to the skin.  That would be the most likely other cause.  So stop using the topical arnica product you are applying.  The other possible cause of a contact dermatitis could be a topical numbing product your doctor may have applied before your injection.  If you were allergic to either of these topical products you could experience significant swelling.  Call your doctor, he/she can probably prescribe an oral steroid medication for a few days to take down the swelling quickly.