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Uneven swelling 5 days after lip injection. Is this normal? (photos)

I had juvederm put in my lips Wednesday, 5 days ago, and I still have uneven swelling. I can't tell if it's swelling or product or a hemotoma. Is there a way of knowing or should I wait two full weeks.

Doctor Answers (8)

Swelling after Juvederm that is uneven

+3
It is very likely that this will improve a lot with another week of waiting. if it persists, you can get a tiny amount of hyaluronidase injected to one side. Do not press on it or massage it, for best results.


New York Dermatologist
5.0 out of 5 stars 5 reviews

Uneven swelling 5 days after lip injection. Is this normal?

+1
Dear B,
Thanks for your question and photos. It is very common to see swelling in the lips for the first few days after Juvederm injection. Cold packs three or four times per day (15 minutes on and off) will help speed up the resolution of the swelling and Arnica Montana also helps for some. If you are still swollen or your lips are too big after 10 days or so, return to your injector for evaluation. The great advantage of Juvederm (and the other hyaluronic acid fillers) is that an enzyme can be injected to reverse the effects. I hope this helps.

Kevin L. Smith, MD, FACS
Charlotte Plastic Surgeon
5.0 out of 5 stars 11 reviews

Swelling is common, but you may want to follow up with your injector

+1
Swelling, redness, discomfort and possibly bruising can last for the first few days following the injection. Most of this settles down within 3 days. Occasionally, the swelling can last up to one week or two.

Cool, soft, flexible ice packs may be used (or small packs of frozen peas) to keep the swelling down. Place the ice pack on the treated area(s) for 15-20 minutes at a time, 3 or 4 times per day.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 70 reviews

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Swelling after Juvederm

+1
Swelling if very common after lip filler . With swelling you will notice unevenness in the lips which is normal. I would recommend to wait 2 full weeks before your follow up appt as it takes that long for product to settle and swelling to subside. 

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 182 reviews

Lips very uneven after Juvederm

+1
Swelling is always uneven, but yours is more uneven than I'd say is common. However, I wouldn't recommend you do anything until the full two weeks has passed. Don't press on it. If you do have product or a hematoma there that's only going to make both of those things worse. Keep your hands away from the area and return to your injector in about a week. That way everything that can, will resolve by that point, and you can see what is left to deal with, if anything.

"This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.5 out of 5 stars 8 reviews

Swelling after juvederm

+1
You are pretty asymmetric at this point.  Were you bruised post injection?  This swelling could represent a small hematoma in the lip.  If it is, you should notice gradual improvement every day.  If it persists,  you will need to see you doctor to have it evened out with either more juvederm or some hyaluronidase.

John J. Martin, Jr., MD
Coral Gables Oculoplastic Surgeon
4.5 out of 5 stars 8 reviews

Lips

+1
You will need to wait. However go back to your doctor and show him what has happened. Unequal swelling can often occur but usually evens out in a few days if it is only injection swelling

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon
4.5 out of 5 stars 6 reviews

Juvederm to lips

+1
After having Juvedrem injections to the lips, it is common to have some uneven or lumpy bumpy texture until the product has "settled in".  Different injection techniques are more likely than others to have this happen.  For right now I would give this a little bit of time. Once the initial swelling has settled then consider having another evaluation to determine the best way to proceed

Sean R. Weiss, MD
New Orleans Facial Plastic Surgeon

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.