How long after lip fillers should they look and feel normal? (Photos)

Question

I had my lips done for the first time 5 days ago 1.1ml Revolax was used. I had extreme swelling for the first 48 hours and were painfully sore. The swelling has now gone down. my top lip is perfect just a slight bruise at one injection site with a little lump. My bottom lip however has little soft lumps over it and the bottom half has a strange tingle type sensation. The kind you feel when you’ve had numbing cream and it’s just starting to work. Is this normal? If not what should I do?

Marie E. Montag, MD · Answer

Injection of the lips with filling materials to enhance fullness and refine shape is a very popular minimally invasive cosmetic procedure.  It is typically performed in the office with either no anesthetic, or just topical or local anesthetic to decrease the pain with injection.  After injections it is typical to experience swelling that is noticeable for between 3-5 days, and a little puffiness that may take as long as 2 weeks to completely resolve.  After that the appearance stays stable until the product begins to be metabolized by the body.  Depending on the type of filler utilized this is usually 4 months to as long as a year after injection.  If the changes achieved by the injections are what you are looking for, then reinjection periodically when it is wearing off can maintain this appearance long-term.
  
                Usually after injection the treated areas are a bit numb for a few days (depending on swelling and the type of product injected).  Some products contain lidocaine in them that keeps things numb to reduce pain for the first couple of days.  That anesthetic should be completely worn off by 2-3 after injection.  If numbness or an irregular feeling persists more than 2 weeks it would be a good idea to go back into your provider’s office to be re-evaluated.  Long term loss of sensation or tingling would be a very unlikely consequence of filler injections.
  
                Lip enhancement has been a desired cosmetic intervention for many years, but it has become much safer and less expensive since the introduction of injectable fillers.  When planning injections please take into consideration the credentials of your provider.  A Board Certified Plastic Surgeon will be the most Qualified to provide you with a thorough evaluation and appropriate treatment recommendation to get you the results that you desire!

Martin Jugenburg, MD · Answer

Hi. Thank you for your question. Some swelling, bruising and even small lumps are common after lip filler treatment. Most cases subside within 2 week time. I would however recommend you to check with your injector for the tingling feeling in your lips.

Glenn Murray, MBBS · Answer

Tingling is usually not normally a sensation you would experience after having lip fillers (although it can be related to swelling or anxiety). If you suffer from cold sores it could potentially be one that has been brought out from the treatment. Keep monitoring it and if it persists return to the clinic who performed your treatment.Warm Regards,Dr Glenn Murray, Absolute Cosmetic Medicine

Camille Cash, MD · Answer

The change in sensation you are experiencing is likely due to residual swelling.  Swelling and bruising can persist up to two weeks from lip injections.  Gentle massage of the area is sometimes helpful in smoothing out small lumps.

Monika Soni, MD · Answer

Thanks for your question!  First time lip filler can be a great experience but like any new experience, it is important to know what to expect.  Most patients will experience 48-72 hours of swelling followed by a period where some small lumps and bumps my be felt.  The great thing with the lips is that the muscles around the mouth are nearly constantly moving and stretching which helps the filler smooth out and settle by about 10-14 days.  The filler is a new substance to your lip are and it is normal for it to feel a bit odd at first.  Your body will get used to it and you should enjoy great results for 3-6 months.  I usually see my first time filler patients back at about two weeks to make sure they are doing well and see if there are any questions or concerns.  Be sure to follow up if you have persistent issues or need answers to questions.

Ryan Welter, MD · Answer

Thank you for your question and photographs.  Some bruising and swelling is quite normal following filler injections to the lips for 7-10 days.  My advice is to follow up with your injector regarding the lumps and tingling.  Lumps may be dissolved with hyaluronidase.  Best of luck.

Jacqueline Calkin, MD · Answer

I ask my patients to wait at least two weeks as swelling in the lips can be persistent, and a slight amount of swelling can cause lips to look asymmetrical or even a bit bumpy as in your case. Best to you!

Steven F. Weiner, MD · Answer

I am not familiar with the filler which was used. It typically will take about 10 days for everything to settle down after lip fillers. Small nodules are common and shouldn’t be a concern. If they continue to be a problem, they can often be dissolved. Light massage might help too.

Maha S. Shakir, MD, FACS · Answer

Thank you for the question. Usually it takes 2 weeks after lip filler injection for the swelling to resolve. The swelling also depends on the type of filler. Good luck.
Lake Oswego Vein and Aesthetic- LOVA

Ronald D. Blatt, MD, FACOG · Answer

Thank you for your question.  Your lips can take about 10 to 14 days for swelling and bruising to go away.  Lumps should resolve by that time as well. If you still have the problem please make sure you see your provider for repair.
Best of luck

How long after lip fillers should they look and feel normal? (Photos)

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