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Why Are my Cheeks and Lips Swollen After Restylane?

I had my lips done yesterday, and the doctor did only one side of my face for faint nasolabial line. She also filled in a bit for an old scar between my nose and lip area. Now, my cheeks and lips are swollen. What happened?

Doctor Answers 21

Swelling may be normal after Restylane

Before any filler treatment you should be informed by your surgeon about possible swelling and bruising around the injection sites. To minimize the chance of swelling it is recommended to ice the area up to two hours after the injection. Restylene is made out of the hyaluronic acid, which attracts water. Therefore, the feeling of puffiness and swelling is quite normal. It should resolve within a week or so. Some patients also feel some lumps under the skin and also experience bruising. In that case it is recommended to gently massage the site.

Swelling after restylane

Thanks for your question -

Certainly swelling in the area of injection for the first few days is not unusual. It sounds like you're describing swelling in other areas. It is very unusual to have allergic reactions from hyaluronic acid fillers but not impossible.

It is also possible that you may be having a reaction from local anesthesia or other medications administered during the treatment.

The key in situations like this is close conversation with your treating physician to differentiate normal swelling from potentially serious other sequelae like allergic reactions.

I hope this helps.

Swelling can take time to resolve.

It’s not unusual for patients to experience swelling immediately following Restylane injections.In some cases, swelling may even be asymmetric.In most cases, this swelling has resolved in 24 hours, but may persist for up to 3 to 5 days in rare cases.
Swelling of the lips and cheeks following treatment with Restylane can be a major source of anxiety for cosmetic surgery patients.It’s important to remember that swelling resolves with the passage of time and the majority of patients are ultimately happy with their results.
In your case, swelling in the first 24 hours following Restylane wouldn’t be considered unusual.It’s therefore important to be patient.In the short term ice compresses might be helpful.
If you’re concerned about swelling following Restylane injections it’s important to discuss this issue with your physician.Your physician should be able to formulate a plan that addresses your concerns.

Swelling after Restylane

Swelling is normal and associated with the injection technique, rather than the product. You can expect swelling to last for one to two weeks, depending on the area treated and 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.If it doesn't improve after a week or so, please see your injector for an assessment.

Swelling is normal

Swelling is completely normal after facial injections, especially in the lip area. It should resolve in a few days. Best of luck. 

David Rapaport, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 25 reviews

Cheeks and Lips Swollen After Restylane

Swelling is normal after injecting the lips. Some patients also experience swelling of the nasolabial fold. You can apply ice to the area for 15 minutes every hour. That should help bring the swelling down

Tim A. Sayed, MD, FACS
Boca Raton Plastic Surgeon
5.0 out of 5 stars 15 reviews

Why Are my Cheeks and Lips Swollen After Restylane?

Swelling after fillers particularly hyaluronic acid fillers (HA's) is normal and should be discussed prior to injections as it can be quite worrisome for patients.  You are not alone in your surprise/concerns.  Maximal swelling typically occurs 12-24 hours following injections and subsides significantly within 72hrs.

HA's as other physicians have mentioned to you are additionally hydrophilic... meaning they naturally attract and retain water and will swell more than some other fillers.

Bruising due to occasional trauma to blood vessels will typically last up to a week.

Intermittent Ice, Compression, Advil after 24 hrs, Arnica/and or pineapple, and concealler can be helpful.

 Warm Regards,

Dr Quinton Chivers

Quinton Chivers, MD, FRCS(C)
Toronto Plastic Surgeon
4.5 out of 5 stars 11 reviews

Cheeks and Lips Swollen After Restylane

It is common to have swelling after a treatment for a couple of days although it can be managed with ice to the area. Inform the injector of the swelling, and request post treatment instruction. If the swelling persists for a week, you should request to see the injector. 

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 23 reviews

Swelling is normal after treatment

Varying from patient to patient, visible swelling and bruising is normal at the injection site and will subside within 5-7 days. You may take Tylenol for any discomfort, but please avoid aspirin or Motrin, as they can increase bruising.

David Mabrie, MD
Bay Area Facial Plastic Surgeon
4.5 out of 5 stars 63 reviews

Swelling after Restylane Injections?

Hi Cynthia.  Swelling after Restylane injections at and immediately aroudn the injection site is very normal, especially the day after the injections.

If your selling does not go down over the next couple days or it is in areas completely separate from the injection sites, you may be advised to contact your iinjector now to be seen for a follow up.  Good luck.

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