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How to Reduce Swelling and Bruises on Lips After Restylane?

I have had Restylane injections in my lips yesterday, it is still very much swollen and bruised. How long will this last?

I look terrible, and am very worried about going out in public. It has been almost 24hrs since the treatment and I see no reduction in swelling. Is there a way to speed up the reduction of swelling?

Doctor Answers 13

Side Effects- Restylane injected into lips

Lips are one of the most sensitive areas to inject with Hyaluronic Acid. Swelling tends to last a few days after treatment to where bruising can last 7 to 10 days. Swelling of the lips tends to be the worst in the first 48 hours after you inject them.   Ice can help to reduce swelling post procedure- try to ice as much as you can.  Also, for future reference you may want to consider Arnica tablets 5 days prior to your procedure- this will help to significantly reduce swelling and bruising. 
If the swelling is severe, some dermatologists may use low dose prednisone for about 3 days to reduce swelling.
The good news is that Restylane works, and its safety record has been clinically documented and supported by robust clinical studies spanning over 10 years. Furthermore, since 1996, over seven million Restylane treatments have been successfully performed worldwide. Restylane is one of the most tried and tested dermal fillers and is recognized as the benchmark for safety.

Virginia Dermatologic Surgeon
5.0 out of 5 stars 1 review

Bruising & Swelling with Restylane - Prevention and Intervention

Using cosmetic dermal fillers in the mouth area can lead to a very pleasing outcome. However, bruising is not uncommon. We believe in educating patients prior to their treatments on things they can do, or not do, to help minimize or avoid bruising. Not only can bruising in the mouth be a problem, but swelling as well. Check with your physician or the link below to find helpful hints to prepare you for an injection treatment. If the bruising/swelling already occurred, below are some suggestions:

*Avoid massaging after injections because this can lead to more swelling or even lead to delayed bruising.

*Cold compresses such as frozen pea bags are very helpful within the first 48 hours - intermittent icing.

*Notify your practitioner of your condition so that they may be made aware and have an opportunity to make suggestions.

*Contact your practitioner if the swelling is not progressively resolving and/or it is getting progressively worse.

*Early intervention goes a long ways in minimizing this response. Make certain that your injector uses a slow, gentle technique, provides icing throughout the procedure for comfort and to minimize bruising/swelling.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Reducing swelling and bruising

The lips tend to bruise and swell a little more than the rest of the face. However, in general there should be very little swelling/bruising for 80% of patients if they follow the post-injection instructions and take Arnica before and after treatment. Please refrain from vigorous physical activity and don’t touch your lips too much.

Lips usually become swollen , reducing these effects.

I want to try to prevent bruising, so I often tell patients not to take supplements that can increase bleeding. These are vitamin E, Gingo biloba, garlic. I also encourage patients to take oral arnica 3 days before the treatment and not to drink any alcohol, or take any anti- inflammatory medications like motrin. I also give patients clear expectations so they can assume that they will have swelling. I usually always tell them to plan to have bruising. Its unpredictable sometimes, and the swelling can very from patient to patient. So I like to encourage patient's to plan a couple of days just in case this should occur. I also feel that using a Cannula to fill the lips has decreased bruising on lips because the cannula has a dull tip and does not shear the blood vessels in the lip. It also does not cause as much discomfort to do lips. Swelling often occurs because of the lidocaine, and or multiple needle sticks. When using the cannula again I only need to make 2 needle sticks, one on either side of the lips. From this same incision I can fill the top and bottom lip on one side and then from the other incision I fill the other half of the lip. Less trauma means less bruising. 

This should be temporary.

It’s unusual for patients to develop significant bruising and swelling following the use of injectable fillers. Never the less this complication may occasionally occur following these injections. Bleeding, bruising and swelling aren’t usually related to the filler material, but instead are related to the injection technique and the patients’ clotting mechanism.
When this situation arises bruising and swelling usually resolve in 7 to 10 days, but may last as long as three weeks following the procedure. Under these circumstances, anything that minimizes the inflammatory response might speed the process. Ice and steroid treatments might be helpful for this reason.
It’s important to discuss this issue with your specialist. It’s also important to understand that although this event was unfortunate, it should only be a temporary problem.

Swelling and bruising of the lips after Restylane injections, Connecticut

Swelling and bruising of the lips after Hyaluronic Acid injections, such as, Restylane, is common. Although everyone will experience different degrees, it can be expected. The best post treatment plan is to use cool compresses, and avoid alcohol use for the first 24-48 hours. I usually recommend taking Advil after the first 48 hours and do not rub or massage the area, as that could lead to more swelling and bruising.  The swelling should improve in a few days! For patients that are prone excessive swelling and bruising, I recommend them to avoid anti-inflammitory medications for about 7-10 days before any injectable procedure.

Alfred Sofer, MD, FACS
Fairfield Plastic Surgeon
5.0 out of 5 stars 15 reviews

Swelling after lip injections with filler

     Swelling after injection is not uncommon, but you appear to have more than the average.  We ask that our patients take no aspirin or Ibuprofen ahead of time,  We then use aa very gentle, slow technique, and instruct the patients to use topical arnica gel, and to ice intermittently.  
     Once the swelling or bruising sets up it takes a good 7-10 days to get better.  Hang in there , talk to your physician and best wishes. 

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 26 reviews

Swelling and bruising after Restylane

Swelling is normal. You can expect swelling to last for one to two weeks, depending on  how your body reacts to the treatment. Keep your head elevated to help ease swelling, particularly when sleeping. You can use a few pillows to prop your head up.You should also avoid exercising for one or two days after the procedure.

Swelling and bruising on the lips after Restylane

Restylane is a very popular and effective hyaluronic acid-base dermal filler. It has been used widely throughout the face for the correction of deep lines and wrinkles. Restylane can work quite well in and around the lips. Patients may experience swelling and bruising after such an injection. In our practice, we provide our patients with ice packs and instruct them to place a cold compress on the lips for the first 1 to 2 days. Most of the swelling and bruising should dissipate by that time. If you continue to have bruising and if it becomes worse with redness, return to your doctor for evaluation so that they can determine the cause of these symptoms

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 68 reviews

Warm compresses and Arnica Montana

Standard instructions after treatment with fillers, lips or other locations, consists of cold or ice packs. After 48 hours compress the area with luke warm compresses 2-3 times a day for 10-15 minutes. You might try Arnica Montana gel too. Apply this twice a day. I would also have your physician take a look at this to make sure nothing more untoward than bruising develops. Next time, eat some pineapple before going in. The bromelain in it might help to an extent to prevent bruising. In 4-5 days you should be recovered.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.