Cheryl Perlis, MD, FACOG

It is possible that the tearing is occurring from the pressure from the juvederm product. Most of the time, this goes away, as the product settles. Since it is may, I would suggest that if is continues to bother you, that you can have a small amount of  the product dissolved, just enough to relieve the pressure on the tear duct area. 

There is a lot of filler placed in to your lip, which maybe the reason that you are having so much swelling. I would  suggest that you use another experienced injector, who may use another technique like the cannula, which may cause less bruising. Also using less product may help as well, more is not always better, and your body may not be able to tolerate too much product all at once. I would still continue your arnica. Also adding Quercetin- which is a supplement that can help with swelling. It can be purchased at whole foods. 

This area commonly bruises, and you can get some redness as well, with that said, I think it would help to use arnica montana( extra strength) to help with the bruising. I would suggest that you take it as directed for the next 5 days. Unfortunately, the bruises can take up to 10 days to resolve. It will look very good, and well worth the bruises in the long run. Buy a good quality concealer to help cover them up. 

Since I do not have an entire picture of your face, it is difficult to an adequate assessment of your face. Sagging of the corners of your mouth usually involves loss of volume from the cheeks as well. I would start by replacing volume in the cheeks, using Restylane lyft which can be used deeper and gives great support. Then after that, I would use Restylane Lyft at the corners of your mouth as well. When evaluating the face, I always like to do a global assessment. 

In general, I would not judge your lips at this point, it takes a good 2 weeks to let the product settle in and for your lips to heal.  If then you see some uneven parts on your lips, you have 2 choices. 1. Add more product, or 2. dissolve some. In general I would add because the doctor will have more control of the ultimate results. Also remember that in general, each side of our face is not exactly the same, but if it ends up looking very different than it should be corrected. Have patience with yourself and try not to look at them so much, healing is a process, it takes time. I think your doctor did a nice job. 

Whenever considering treatment, I would not go by price, but experience. There are many new techniques for injecting the fillers, and knowing the product and where it can be used safely and naturally is the key to the entire treatment. I think going for the consultation and understanding how the doctor injects is the key, and seeing before and after pictures. You can use a small amount of filler, and save money, and sometimes get a better results than adding a lot of filler at a discount price. You where your face everyday. If I feel a patient needs more filler than they want to spend, I tell them to come back when they have enough money to have it done right, instead of not using enough product. This has always been my philosophy. 

Restylane when injected initially can be felt and sometimes seen as lumpy. However, after 2 weeks, because it absorbs water, this usually resolves. You may feel the product but should not be able to see it. I am not sure by your picture where the product was placed. I am assuming under your eyes, and in that case it can swell. I suggest you take Quercetin, which is a supplement that helps with inflammation( it has bromelian in it as well- which helps with swelling) . Also use Arnica Montana for the next week, and that should help. It can always be dissolved, but why do that until you give your body sometime to heal.

You say that it was injected in lower face but your picture is near your eye. Either way, it is really hard to tell where the placement of the product was, so I can clearly answer your question. My suggestion is to have it dissolved with haluronidase. It may be pressing on a nerve that is causing these symptoms. The products rarely cause an allergic reaction, but everyone is different. If it is from the filler the symptoms should resolve. Most allergic reactions occur sooner than a year later.