Day 3 after Juvederm lip injections and the swelling is getting worse. Should I go back to my doctor? (Photo)

Hi Angela. Swelling after lip injections can sometimes be significant and last up to 2 weeks. It can also get worse within the first 24-48 hours. 1 syringe to the upper lip alone seems like a lot and i'm concerned that even once the swelling goes down you may still be left with duck lips. The best thing to do is follow up with your injector and voice your concerns. Best of luck to you. 

Thank you for your question. It is very common for the lips to look
over corrected or fake the next day. This is due to all the swelling
that ensues. I often tell my patients that this
is the "oh my gosh" day. It can be 'oh my gosh' my lips are so
swollen! It could also be 'oh my gosh' I love my lips even more than
yesterday. Either way, the swelling may last a few days with every day
showing a decrease
in swelling. The more you ice the first day or two, the less swelling
you will have. I would wait a few days to a week and then return to
your injector if you still have concerns after that. If you like the
look of the lips at some point during the swelling reduction, then take a
picture. This way you know what volume you like in the lips for the
future.

I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done
with a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary. Get Arnica gel if you can find some and
apply a few times a day as well to help treat any swelling. Avoid any blood
thinners. Bruising can also last 1-2 weeks. I don't recommend hyaluronidase
this early and wait a few weeks until the swelling has resolved. If it is
persistent or you are worried, set up a follow up appointment with your
dermatologist.

This is not the normal course for lip augmentation. I would go back to your doctor. Usually day 2 is the most swelling when you wake up and gets better thoughout the day. I prefer cannulas for Juvederm for less downtime and swelling. Don't think benadryl will help much. 

It is unusual for swelling to get worse the third day after lip injections.  It would be wise to go back to your doctor.  You may have an underlying hives like tissue reaction requiring additional antihistamines or a short course of steroids.

While lip swelling 3 days after filler injection is not unusual, I'm concerned when the swelling gets more pronounced. I would recommend seeing the doctor as soon as you can if, for nothing else, peace of mind. If the swelling spreads to the inside of your mouth or tongue, you need to go to the emergency room right away.        jlr