4 days post-op. Rash on my lips and sides after Juvederm. Is this normal? Is it an allergic reaction? (photos)

Question

I’m 4 days out from having my lips done. I’ve noticed that I have a rash on the outside of my lips and small, skin colored dots ON my lips. Both of them are very itchy and cause my lips to swell more. Is this an allergic reaction to Juvederm, or possibly the numbing cream that was applied?

Jason Emer, MD · Answer

Swelling and/or lumps after lip injections are normal and can last 1-2 weeks. The symptoms you are experiencing aren't a typical attribute of post lip filler injections. I recommend reaching out to the rendering physician for an immediate follow up. Best, Dr. Emer

John J. Martin, Jr., MD · Answer

This could be a herpes simplex infection, although that is usually more painful than itchy.  See your doctor to start the appropriate meds you may need to take to treat this.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I see your areas of concern. I would recommend seeing your injector for an in-person evaluation of your lips and the bumps seen as this could be an allergic reaction but other issues such as an infectious breakout need to be ruled out as well.

Tonya Boudreaux, MD · Answer

Hello - thank you for the photos and question. A rash reaction like this is not normal and you should call your provider ASAP. 
Wishing you the best of luck

Camille Cash, MD · Answer

Thank you for your photos and questions. A rash of this sort is not typical.  It could be a viral reaction or something else.  I encourage you to return to your injector for an evaluation and appropriate treatment.

Vilma Di Maria, MBBS · Answer

Thankyou for your question. any rash that looks like a cold sore post filler is considered a vascular occlusion . ( blocked artery).I suggest you go back to your injector asap and have some of the filler dissolved.Good luck

Robert G. Aycock, MD, FACS · Answer

This looks like a cold sore outbreak. You can use products like abreva to help the discomfort and make the healing time quicker or contact your injector to call in a prescription for you.

Stephen M. Davis, MD, FACS · Answer

Thanks for writing,I would recommend you see your injector as soon as possible, hopefully you injector was a plastic surgeon, an MD. This could be anything form a cold sore virus that is spreading to a atopic dermatitis. You need an evaluation by someone experienced and someone who knows how to treat the problem. Good luckStephen M. Davis, MD, FACSCertified: American Board of Plastic SurgeryMember: American Society for Aesthetic Plastic SurgeryMember: American Society of Plastic SurgeonsMember: RealSelf Hall of Fame

4 days post-op. Rash on my lips and sides after Juvederm. Is this normal? Is it an allergic reaction? (photos)

Answers (8)