Ralph Massey, MD

Hand rejuvenation can involve several steps. For volume replacement Radiesse and or fat transfer can be used. The volume needed will vary from patient to patient depending on the stating point and desired end result. Fat tends to last longer but is more variable in its longevity and results. For skin texture, gentle resurfacing with either lasers or chemical peels can work well. And for blotchy pigmentation cryotherapy or IPL treatments can work. For long term maintenance, topical retinoinds and alpha hydroxy acids and of cause sunscreen.

Hope this helps.

Hydroquinone is NOT a requirement prior to any laser procedure ablative or none ablative. There is little proof it does decrease the incidence or severity of darker pigmentation after these procedure even though many physicians use it in the hope that it may. If you are having a reaction to it you should not use it. There are several alternative topical such as kojic acid. For patients at low risk for pigmentation after the procedure then no topical bleaching prep is needed.

Hope this helps

Based on your photo and history I think there are 3 factors contributing to the swelling. Some of it may be normal reactive swelling after injections into the lips. For this aspect use of ice packs and giving it time would be all you need.  However some of it may be misplaced or too much filler. If a filler such as Restylane or Juvaderm was used this can be reversed with the injection of a specific enzyme to dissolve the excess. Finally given the bruising I would suspect you may have a small hematoma. That's a small collection or pool of blood within your lip. It is only be feeling you lip that these factors can be clinically differentiated. So You need to see your provider for an in person examination to allow them to determine which factor is the main problem and help you decide on the best course of action at this stage.

Hope this helps.

The theoretical "ideal" proportion is to have your upper lip two thirds the fullness of your lower lip. What is ideal for you will vary based on the proportions of the rest of your face and your own aesthetic desires. I would not do anything to your lower lip. It is full, attractive and normal. I think the only reason it may seem "swollen" to you is in comparison to its skinny neighbor, your upper lip. The solution is simple. enhance the fullness of your upper lip until a more satisfying proportion is achieved. This can safely and relatively simply achieved with injectable fillers such as Restylane or Juvaderm.

I hope this helps

If it has only been a couple of days, I would not be too concerned. The darker discoloration and swelling is most likely just swelling and bruising from the procedure. However the whiter firm bump on the boarder of your lower lip may be misplaced filler product. If you injector used a hyaluronic acid filler such as Restylane or Juvaderm then the extra filler can be dissolve with a small injection of an enzyme. But even this bump may resolve itself in a few days with a little pressure and time.

Hope this helps