How do I treat bruising after lip augmentation with Restalyn?

I had Restalyn injected in my lips yesterday. I made it clear to my practitioner that i wanted the results to be very subtle, that I was starting a new senior job next week and did not want to deal with any bruising or freakish swelling. They assured me that it would be fine and that I could even go out that same night. They also promised to be very restrained in how much they used - saying that i could always inject more later. Well, going anywhere is not a possibility and I'm really worried about my first week at work.

The biggest problem is the duck like appearance, an imbalance between my top and bottom lip and, most importantly, severe bruising which has turned the left side of my bottom lip black. Oddly enough my top lip is totally fine ( although they did do more injections on the bottom) I'm icing all the time, taking Benadryl and Arnica, and sleeping upright. I think the swelling will probably be gone by Tuesday ( start day) but I'm worried about the black bruising. It's even on my skin next to my lip. is there anything at all I can do to make the blackness dissipate? I can't even cover it with concealer. Does anyone know of any make-up that can cover black and blue lips? It almost looks like they're bleeding black and blue

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11 answers to “How do I treat bruising after lip...”

A: Swelling after Restylane to lip

Corey S. Maas, MD

We inform patients that there is a small risk of swelling and bruising after Restylane injections to the lips (a risk with any injection). Immediate ice application afterwards, Sineech, avoiding aspirin, Nonsteroidal anti-inflammatory medications, and vitamin E are all measures that can reduce the risk. If a... more

A: Prevention is key - You can always take away Restylane with an injection

Philip Young, MD

Prevention is the key to bruising and bleeding. You should always stop high dose vitamin E, anti-inflammatories, aspirin, herbal medication, supplements and any blood thinners 2 weeks before and after your injection or procedures. These are elements that affect your body's ability to clot your blood. Hence,... more

A: Time should resolve bruising after Restylane lip injections

Wilfred Brown, MD

Bruising following Restylane injections to the lips are very common, and often don't become evident until this next day. The lips are highly vascular, and the inadvertant injury to a small vessel is the norm rather than the exception. To minimize the risk of excessive bruising I suggest you ice your lips both... more

A: Lip augmentation

Jordana S. Gilman, MD

It is almost impossible to completely avoid bruising when augmenting the lips.  The lip tissue is very delicate and filled with blood vessels.  Apply your ice packs for 5 minutes every half hour for the first 8 hours and sleep upright as you are doing.  You may apply Arnica cream and take the... more

A: Black and Blue

Steven Wallach, MD

Ice and elevation are usually the 2 best things for the first few days. I am not a big fan of arnica and allt he other herbals that are out there.  Make-up and lipstick can help camouflage the brusiing on the skin and the lips.

A: Facial Fillers and Bruising: Arnica, BruisKare, Sinecch, Massage

Raffy Karamanoukian, MD

There are two things to do if you experience bruising with facial fillers or other injectables: 1.  Speed up the rate of recovery from bruising by employing the following  treatments:  Arnica tablets: BruiseKare; Sinecch, Homeopathic arnica montana Arnica ointment: BruiseStick... more

A: Allow for bruising

Brent Moelleken, MD

Careful technique can minimize bruising, of course.  Also Juvederm may be a better choice for patients who experience bruising and swelling with Restylane.  As hyaluronic acid fillers have become longer lasting and thicker, the complications from injections have increased. In all patients who need to... more

A: You are doing everything you should be doing

Chia Chi Kao, MD

Dear Black and Blue, Keep doing what you are doing.  Unfortunately you were not given the proper information.  There is always a possibility of bruising and swelling and you should have been informed so you would have been prepared for the outcome. The bruising and swelling should subside over the... more

A: Bruising will subside with time

Brenda Dintiman, MD

Bruising is a commong problem when injecting the lips.  Over the years I have found that it is very important to avoid aspirin, ibuprofen, alleve and other anti-inflammatories for at least a week before your treatment.  Alcohol, vitamin E supplements and gingko can also make you bruise more easily... more

A: You are doing all the right things, but make sure to avoid any aspirin, advil or aleve while healing

Joel Schlessinger, MD

This is common, even with good physicians.  The only thing that is a shame is that the doctor didn't tell you to not do it.  If a patient tells me that they have a major event coming up, I tell them to avoid restylane in the lips prior to it for 2 weeks because it is always a possibility to have... more

A: Dermablend or CoverMark are good coverup makeups

David Hansen, MD

You are doing everything you can at this point.  I would recommend not taking any alcohol drinks or aspirin nor advil for at least 5 days before your next injection session.   Don't blame the restylane or the physician for the bruising.  It happens regardless to the best of us physicians... more

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