Bruising after Juvederm - when will this nasty bruising go down, it has spread onto my skin and it's so embarrassing. (photos)

Question

When will this nasty bruising go down, it's spread onto my skin and is so embarrassing.

Martin Jugenburg, MD · Answer

The lips are very vascular so it is very common for the lips to bruise after lip injections.  The bruising and swelling may be worse the following day after injections, but will improve daily after that. Give your lips 2 weeks to fully heal.

Joseph J. Castellano, MD · Answer

Making
sure to choose only a highly experienced injector may help limit bruising and swelling
in the future, although the lips have a greater tendency to bruise after
injectable fillers than other areas, unfortunately. While ice packs can help
reduce any swelling that may be present, bruising has to heal on its own. This
can take up to a week or two depending on your body. If it seems like the
discoloration is getting worse or spreading significantly, or if you experience
pain in addition to the bruising, you should schedule a follow-up with your
injector.

Philip J. Miller, MD, FACS · Answer

Bruising is always a risk with any injectable. The lips are one of the places that bruise most easily. The bruising will go away, but it may take a few days. It is better not to have injectables done just before attending a big event like a wedding or graduation, just in case you do bruise.

Amy K Hsu, MD, FACS · Answer

Dear Mistym81~It is normal for the bruising and swelling to get worse over the first couple days after injection with Juvederm, but after that it should improve daily.  Bruising and swelling can last up to two weeks after injection.  As previously mentioned, if the bruising is worsening or painful, you should follow-up with your injector immediately to make sure you are not having some kind of issue related to a blood vessel blockage.For normal bruising and swelling, you can take arnica and bromelain supplements over the counter.  These supplements are available at most organic food stores.Best wishes,Amy Hsu

Ramona Behshad, MD · Answer

Filler in the lips can cause significant bruising. While temporary, it can take two weeks for bruising and swelling to go down. Ice packs and resting your head upright (including during sleep) can certainly help swelling, but will do little for the bruising that has occurred. Be very careful after sun protection, as the sun can temporarily stain the bruised areas of skin. Besides time, lipstick and a good cover up (such as Dermablend) can make a world of difference.

George T. Boris, MD, FRCS · Answer

Lips are a very vascular area. Therefore, the chances of bruising are higher there after injections. Bruising and swelling can sometimes take up to 1-2 weeks to completely resolve. In the future, you might consider to take a homeopathic solution such as Arnica and ice the first 24-48hrs to speed up the healing process. Good Luck.

F. Victor Rueckl, MD (in memoriam) · Answer

Bruising can persist for up to 2 weeks after Juvederm. If the discoloration itself is spreading a lot, or darkening in color (turning very black), or if you get spreading bumps on your lips or face (not herpes but something else), or if you have significant pain and throbbing, then you need to return to your injector immediately as you could have arterial blockage. It's really hard in the photo to tell if this is normal bruising (which I think and hope it is!), or possible blockage, but the fact that you are saying it's spreading onto surrounding skin is why I'm concerned a bit and stressing this point. "This answer has been solicited without seeing this patient and 
cannot be held as true medical advice, but only opinion. Seek in-person 
treatment with a trained medical professional for appropriate care."

Bruising after Juvederm - when will this nasty bruising go down, it has spread onto my skin and it's so embarrassing. (photos)

Answers (7)

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