Restylane silk swelling? (Photo)

Hi! I got restylane silk lip augmentation yesterday and the remainder injected at the nasolabial fold. Overnight, my friend and I awoke to extremely swollen lips. I've been icing and using ibuprofen. Our doctor has recommended a course of steroids but I feel that's premature given how recently we had the procedure. It hasn't been 24 hours yet. Do you think I need steroids? I'd rather not.

Doctor Answers 13

Swollen after Restylane Silk.

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Thanks for this important question. The swelling level looks normal and I do not believe steroids are necessary. You should probably continue to ice, but stop massaging - with Silk massage can make you swell more. Best, Dr. ALDO :)

Scottsdale Plastic Surgeon
4.9 out of 5 stars 215 reviews

Restylane Silk Swelling

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Thank you for your photos. In general most patients experience some swelling in their lips after Restylane Silk because the product is hydrophilic. However swelling generally goes away after 3-5 days. For more information, I recommend getting a in person consultation with a board-certified dermatologist.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Restylane Silk for lips

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It is usual to have swelling for several days after lip injections with Restylane Silk.  You do not require steroids.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

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Lip filler swelling

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This is not extreme enough for me to order steroids. It will usually last 2 days. Sleeping on more than one pillow helps prevent this. Ice won't help this and I think it might lead to more swelling. Perhaps antihistamines help, ibuprofen doesn't help 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.9 out of 5 stars 75 reviews

Lip filler

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Lip fillers will cause swelling and it may take several days for the swelling to subside. Best to give it some time to settle. I am not a big proponent of steroids for this specific reason.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Restylane SILK swelling

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Swelling the next morning of this degree is quite usual. As you are up walking around and icing, the swelling will diminish significantly and then will continue to resolve over the course of about 48 more hours. The great thing about SILK is the soft natural feel and look once swelling is gone. 

No need for steroids. You could take some motrin as an anti inflammatory.


Lisa Vuich, MD

Lisa Vuich, MD
Nashua Physician
4.7 out of 5 stars 11 reviews

Swelling after Lip Injections

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Thank you for your question. It is normal to have swelling for 1-2 weeks after injection. Icing the area for the first day can help reduce swelling. You can take ibuprofen or Motrin to help with the inflammation. There is no need for steroids.

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Swollen lips the day after Silk

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Swollen lips for a day or two is not that big of a deal UNLESS you have something rather important to do that next day! For the right patients, Silk gives wonderful results, and only a small percentage (10% perhaps) of patients will have the transient swollen lip look afterwards. In my practice we find that 10mg of prednisone at the time of treatment, is very effective at preventing that annoying side effect.  We offer that preventive treatment to our patients and about half of them decide to use the prednisone at the time of treatment - we have yet to see one of those treated patients demonstrate the lip swelling. Of course, prednisone also has potential side effects, and that needs to be understood before taking prednisone as well. 

David Hartman, MD, FACS
Dover Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Swelling is typical with lip injections

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I personally warn patients that they will have very swollen lips potentially.  I do not use steroids for that condition.  A day or two later, they typically subside.

Marwan R. Khalifeh, MD
Chevy Chase Plastic Surgeon
4.7 out of 5 stars 107 reviews

Swelling after Restylane Silk

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Although prolonged swelling is uncommon with Restylane Silk, it does occur and can last for up to a week or so.  Usually icing the first day is helpful but after it is unlikely to be of use.  I suggest ibuprofen  several times a day and if it still is a problem after several days then perhaps a short course of cortisone orally would resolve the problem.

Stephen Mandy, MD
Miami Dermatologic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.