4 weeks post lip filler the swelling has returned twice after prednisone. It is painful and tingly. What could this be? (photos)

While I cannot provide a formal assessment without seeing you as a patient in my clinic, it appears that you are having a reaction to the product. I suggest stopping the prednisone and having your filler dissolved. I also recommend scheduling this appointment with a board-certified cosmetic dermatologist who is an expert in facial rejuvenation. Once the filler is dissolved and your reaction subsides, this doctor can help you choose the appropriate filler and treatment plan moving forward.

I appreciate your concern. While swelling is completely normal after lip filler injections, the problems you are experiencing sound like they could be related to an inflammatory response rather than the usual post-treatment swelling. I would schedule a follow-up with your doctor once again to determine whether the filler should be dissolved to prevent further issues.

I'm sorry to hear of the issues you are having.  From your description it sounds as if you are having a reaction to the filler.  At this point you may consider having the product dissolved with hyaluronidase.  See an expert injector to discuss this further.

hey there, sorry to here about your filler experience.
It appears that you have allergy to the filler. No need for taking prednisone but it needs to be disolved.

I think you should consider getting hyaluronidase injection to dissolve the product. That should reduce the swelling quite nicely. 
Best Wishes 

Assuming that this is your first time with Juvederm Ultra, it appears that you are having an inflammatory response to this filler, without itchiness or heat. If the swelling continues and is undesirable to you, the Juvederm Ultra fortunately can be dissolved .  

It is possible that you're having a reaction to the newer Juvederm products that have vycross technology. You obviously cannot take prednisone for the rest of your life so if this happens to recur I would have the doctor dissolve the product with the use of hyaluronidase and consider something else like Restylane or the old fashioned Juvederm. Good luck from New York City

Thank you for your question, swelling post filler injection can be expected. You should follow up with your injector to discard the possibility of a reaction to filler or something else externally that could be triggering this. If the Prednisone isn't helping this should be discussed with your doctor or injector to come up with a plan of treatment to get the inflammation under control safe and effectively.
I hope this helps.
Regards,
Sheetal Sapra, MD, FRCPC