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Why Are my Cheeks and Lips Swollen After Restylane?

asked 3 years ago by cynthialynn in Los Angeles, Ca. USA
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 16,133 times
Tags: cheeks, swelling

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?

16 answers to Why Are my Cheeks and Lips Swollen After Restylane?

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... more

Steven H. Williams, MD
San Francisco Plastic Surgeon

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... more

Gregory Turowski, MD, PhD
Chicago Plastic Surgeon

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

www.drkrisreddy.com

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

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

Swelling after Restylane injection

Restylane is a powerful and effective dermal filler. Patients enjoy it because the results are immediate and last for approximately 6 months. After injection, patients can expect to see a small amount of redness and swelling for 1 to 2 days. If you're swelling has persisted beyond that time, it is best to return to your dermatologist to determine if you add a reaction or a low-grade infection. Although these complications are extremely rare, it is important to let your health care... more

B. Pat Pazmino, MD
Miami Plastic Surgeon

Swelling after Lip Augmentation with Restylane and Juvederm is Normal

Restylane and Juvederm are hyaluronic acid fillers composed of a synthetic form of a naturally occuring compound in our body. Unlike silicone, restylane and juvederm are safe and temporary fillers with low complication profiles. Hyaluronic acid is hydrophilic, wherein it actually acts like a sponge in the tissue to absorb water. This causes a temporary swelling in the immediate postprocedural period. The swelling is transient and is best treated with gentle pressure, ice packs, and time.... more

Raffy Karamanoukian, MD
Los Angeles Plastic Surgeon

Swelling after Restylane is likely normal

Swelling can be normal after a facial filler. It may signify excessive bleeding or rough injection technique from the injector. There are rare cases of isolated allergic reactions at 1 in 2000 which manifests as local swelling, redness, or tenderness over time Tips to decrease swelling after NASHA facial fillers: Ice- Especially immediately after the injection Avoid medications which can promote bruising and bleeding A gentle touch by the injector Antihistamine... more

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

Swelling after Restylane: Normal after 24 hours

Swelling after any injury is common especially for the first four days which we call the inflammatory period. Antiinflammatory agents may be useful but are generally discouraged due to their potential with bleeding. Icing, head elevation, compression are generally recommended for the early period to reduce inflammation. There are some individuals feel arnica montana gel or tablets as well as bromelain may be useful in this regard as homeopathic remedies. If the swelling is due to... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Swelling is normal after facial filler

Swelling is normal a day or two after injection with a facial filler. This should get better with time.

Steven Wallach, MD
Manhattan Plastic Surgeon

You are not alone; everyone gets some degree of bruising and swelling.

You are definitely not alone on this one… everyone gets some degree of bruising and swelling with facial soft tissue injections. I always forewarn my patients about the POTENTIAL risks of bruising and swelling with all facial injections. Because of the high vascularity to the head and neck area, it is not a question if bruising and swelling will occur, but rather how much. Most times, this is minimal. The swelling that you experienced is not due to the Restylane. Even though we... more

Stephen A. Goldstein, MD
Englewood Plastic Surgeon

Some swelling is normal after injections

Swelling is normal after injections, especially into the lip area. The length of time the swelling lasts is different for different people but should go away within a few days. Please do not worry. Placing cool compresses on the area may help. If after one week the swelling persists, please go and see your doctor again. Dr. Kari L. Colen

Kari L. Colen, MD
New York Plastic Surgeon

Swelling After Restylane Injections

Hi Cynthia, The swelling after Restylane injections should be mild, and should dissipate within one to two days. The swelling of your lip is from filling the scar. If a deep blood vessel was punctured with an injection then there is sometimes swelling (and bruising) that may last for a week. It sounds like your swelling should resolve soon. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Swelling is to be expected after Restylane injections

Everyone swells at a different rate and to a different degree. Anytime you are injected with filler there will be some swelling. To minimize the swelling, you can place ice or cold compresses on the site of injection after the procedure. You can also use arnica montana or bromolein. In the end, all swelling resolves, so relax and enjoy hte results. Robert M. Freund, MD, FACS

Robert M. Freund, MD
New York Plastic Surgeon

Restylane swells more than other HA fillers

Restylane is a hyaluronic acid (HA) filler. HA is made in our joint fluid and it is very hydrating. The formulation of Restylane makes it particularly fond of sucking up fluid like a sponge. If you inject to correction with Restylane, you typically have more aggressive post-injection swelling. I will usually undercorrect by a small amount to avoid the duck lips issue. Please understand that the act of injecting your lips and cheeks with a needle alone will produce swelling by itself,... more

Manish H. Shah, MD
Denver Plastic Surgeon

Expect some transient swelling after Restylane injections

Cynthia, It is normal to have some transient swelling after injections. The swelling is due to two causes. First, anytime you have localized trauma (the injections), then the tissues develop edema (swelling) as a response to the injury. Second, the molecules which are injected are hydrophilic (water loving) which means they attract water within the tissues. This effect equilibrates over a few days. However, if this does not resolve after a few days, you should go back and see your doctor. ... more