I had Juvederm lip injections 4 days ago and one side of my bottom lip is very painful with some bruising. Is this normal?

It is not unusual to have some pain and bruising after lip injections-this area is very sensitive, swells easily and can bruise easily as well.Some pain is normal, but if extreme and even more so if you have a history of fever blisters,you should follow up with your physician.

Hard to make a determination without a photo.  Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns.

Filler can cause pain and swelling post injection, but discoloration more than a bruise or extensive pain should be evaluated.  I think posting photos would help or consider seeing your physician.  Best, Dr. Emer.

It takes two weeks for fillers to fully settle and for swelling /bruising to subside. The lips are very sensitive so to have some discomfort after injections is not out of the ordinary.   If you are having concerns i would book a follow up with your injector for an assessment.  

We tell all of our patients that if they experience pain several days after the injection of fillers, we want to know about it and possibly see it. Pain can mean the beginning of something we do not want, like an infection. In the lips, sometimes, pain like this is not uncommon, so I would recommend returning to your injector and letting them determine which process is going on and if any further treatment, besides ice, is needed.Lips are tricky sites to inject — please make sure that the person injecting is really skilled in this.And as an FYI, all the major fillers — Juvederm, Restylane, and Belotero — can be injected into the lips.  Recently, Restylane Silk became approved by the FDA for use in the lips. It is new and will be rolling out to skilled injectors over the next several months.

Dermal fillers can cause bruising and swelling in the lips. If the pain is not manageable, you should contact your injector as he or she knows the scope of the treatment and the specifics about you.

Your injector will he able to evaluate this problem in person and help you with the appropriate treatment. it may be brusining, or possibly an infection.These side effects can often be minimized by enquiring about a history of cold sores, injecting small amounts very slowly and using meticulous sterile technique, icing snd sending the patient home with cold packs.  Hopefully you will not have this problem again in the future.All the best! Dr. Clark

See you plastic surgeon.  Pain is always concerning.  You may have simple bruising but you could have a viral or bacteria infection.   You will be fine but have your doctor do a hands on examination.   My Best,  Dr C