Injector too harsh? Hematoma, bruise spreading and swelling after Juvederm on lips. (photos)

Anytime a needle is used over a cannula the risk for bruising is greater. Each provider has their own technique to lips. Maybe try to find a provider who uses a cannula in the future if it continues to be a problem. Remember to avoid taking any blood thinning medication and to avoid drinking alcohol before your injections. They do thin your blood and can cause more bruising.

There can be bruising and/or swelling with lip augmentation injections. Injections with cannulas can limit bruising. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Thank you for sharing your question and photographs.  Unfortunately any time that a needle is placed into the skin there is a risk of bruising to the tissues.  Though certainly technique and "gentleness" of the injector is important you may want to ask for the use of a cannula next time to reduce the risks.  If you are unhappy with your results then you may want to consider a change in provider.  Hope this helps.

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. 

Thank you for your question mwc520. I am sorry to hear about your
situation. Juvederm is a hyaluronic acid filler designed to enhance the
appearance of the face. Bruising and swelling may occur with any injection. I recommend that my patient be prepared for it. Swelling can be reduced by applying cold compresses and we treat bruises with a laser as early as the day after the treatment. Please consult with a doctor for specific recommendations. Good luck!