Swollen Lips After Radiesse, Perlane, and Botox Injections

At three days, you are just experiencing the early decrease from the peak of swelling(usually at 2 days) . Oral corticosteroids decrease inflammation and may help somewhat with the swelling, but are not used routinely for injections, whereas they are often used as a preventative measure in cosmetic surgery. Contined use of ice may help. Your swelling should be starting to resolve. If not, you may be experiencing a reaction such as an infection and you should follow up with your physician.... more

The face is prone to bruising and swelling. At three days, it is not unusual to experience swelling following botox and soft tissue filler injections. Obviously, your physician must have prescribed the “steroid” medication which will assist in reducing the swelling. I would continue to avoid any strenuous exercising, lifting, pushing, or pulling activities and continue to ice the areas treated. It is very important that you continue your follow-up care with your physician.... more

The swelling from lip augmentation can last up to 2 weeks, but can be minimized by proper injection technique, an epinephrine containing block and local ice therapy. It sounds like you got a lot done with the three injectables you noted. Try ice every 4 hours to the lips for 15 minutes at a time which can decrease the swelling significantly in the first couple of days. I hope the this helps.

Swelling after injections in the lips is normal. This can take even a week or two to resolve. As Dr. Lupo mentioned, I hope that the Radiesse was not placed in your lips as this is probably less than optimal. A better choice would have been one of the hyaluronic acid fillers in the lips. In either event, even if this is not swelling, fortunately it will wear off over time.

Lip augmentation with the use of dermal fillers is a very popular and effective technique. Patients who received a filler in this area should expect a small amount of bruising and swelling. This typically lasts for 1 to 2 days. It is best to apply a cool compress and keep it elevated to allow for quick resolution of this swelling.  

It is common to have some swelling after Radiesse and Perlane injections. However, it is not really accepted treatment to use Radiesse in the lips. Most patients have noticed nodularity (lumps) after Radiesse is implanted in the lips. Hyaluronic acids like Restylane, Perlane, Juvederm are ok to use in the lips. Before we can fully answer your question, it would be good to know whether all three (Radiesse, Perlane, and Botox) were injected in the lips. In addition, was that the first time... more

Delayed swelling 3 days later is a little unusual. Steroids usually help with swelling, and swelling usually resolves over time. Talk more to your doctor about your swelling to make sure you get good results, and you recover safely.

The lips are a very sensitive area when fillers are performed. They may stay swollen for several days. Give it time and be patient. Steroids may help but I don't usually prescribe them.

Duke, I am hoping you did not have all these products in your lip. Generally it is my personal opinion that Radiesse and Perlane are not ideal products for the lip. Many would disagree with that assessment. For lips, I find that a product like Restylane is more forgiving. Now, addressing your concerns regarding the swelling, it is not unusual to see swelling in the lips following these treatments. If it has only been three days, swelling would be completely expected especially if you... more

Assuming that the injectable used in the lips was perlane, most of the swelling should resolve at 1 week, and at 2 weeks, you should be able to see the final result. The steroid medication might help. Consider taking an antihistamine such as Zyrtec during the day and Benadryl before bedtime. Good luck.

Your message was not clear as to what was done where. Hopefully, the Radiesse was not put into your lips as that problem is very persistent. Perlane is a very aggressive HA for lips and always causes a lot of swelling. Restylane and Juvederm are much better options next time. Oral or intramuscular corticosteroids should help, as will time. I doubt the Botox was related to this problem at all, even if it was injected near your lips for fine pursing "lipstick" lines.