Reducing Juvederm Swelling with Cold Compress?

Do cold compresses help reduce swelling? How long and how often? I had Juvederm yesterday and my upper lip and the left side of my face are swollen. I was planning to return to work tomorrow. How can I reduce the swelling?

Doctor Answers 9

Cold compresses are fine to use after Juvederm, but time will be of the greatest benefit

Thanks for your question.

It is common to have swelling with Juvederm injections for 2-4 days after the procedure. Common ways to reduce this swelling is with ice packs, and if you wait at least 1 day later, you can actually take advil/motrin/ibuprofen.

Avoid taking ibuprofen immediately after your procedure because it can cause brusing, but after one full day, you shouldn't have any problem using it.

Other than those two methods, time will be your best friend in your fight against the Juvederm swelling. By day 4, you should notice a dramatic reduction in your swelling and should do fine.

Some people actually have swelling up to 7 days, so don't be too worried if it's still a little "puffy." All of this will settle down.

Good luck!

Beverly Hills Dermatologist
5.0 out of 5 stars 1 review

Swelling after HA (hyaluronic acid) fillers

Lady Di: Yes cool gel packs, ice compresses, etc. can help reduce swelling if used early, ideally within the first few hours after your procedure. You might also get some benefit from keeping your head higher than your chest while lying down.

Most patients receiving HA fillers like Juvaderm and Restylane have relatively mild swelling. When the swelling is greater than usual or uneven you may want to contact your dermatologist or plastic surgeon to see if they think you should come back in for re-check.

If you notice bruising in addition to swelling, the swelling will probably take longer to go away, and the bruises may become more noticible before they fade.

We hope this won't stop you from returning to work.

Sutton Graham II, MD
Greenville Plastic Surgeon
5.0 out of 5 stars 5 reviews

Reducing Juvederm swelling

Cold compresses can help reduce swelling over the first 24 hours following your procedure. I recommend intermittent application of cold compresses (do not apply ice directly, rather use a washcloth rinsed in ice-water, 5 minutes every half-hour, as tolerated). Benadryl or if you prefer a nonsedating antihistamine, Zyrtec can help. If you have bruising in addition to swelling, Arnica pills and topical gel may help.

Good luck.

Bryan K. Chen, MD
San Diego Dermatologist
5.0 out of 5 stars 5 reviews

Swelling after Juvederm in the lips

Thank you for your question. It is very common for the lips to look over corrected or fake the next day. I often tell my patients that this is the "oh my gosh" day. This is due to all the swelling that ensues. It may last a few days with every day showing a decrease in swelling. The more you ice the first day or two, the less swelling you will have.  I would ice every hour for 5-10 min while you are awake.

I would wait a few days to a week and then return to your injector if you still have concerns after that. If you like the look of the lips at some point during the swelling reduction, then take a picture. This way you know what volume you like in the lips for the future.

Cold Compress Will Help!

It’s not unusual for patients to experience swelling immediately following Juvederm lip injections. In some cases, swelling has resolved in 24 hours, but may persist for up to 3 to 5 days in rare cases.
Lip swelling following treatment with Juvederm can be a major source of anxiety for cosmetic surgery patients. It’s important to remember that swelling resolves with the passage of time and the majority of patients are ultimately happy with their result.
In your case, swelling eight hours after Juvederm injection wouldn’t be considered unusual. It’s therefore important to be patient.In the short term ice compresses might be helpful.
If you’re concerned about swelling following Juvederm injections it’s important to discuss this issue with your physician. Your physician should be able to formulate a plan that addresses your concerns.

Cold compresses

Cold compresses can help in the first few days. Apply the compress for a few minutes about three times a day. Make sure it's not too cold, as there is a risk of getting frostbite since the area may be a little numb and you won't feel the cold as easily.

Swelling form juvederm

Initially, cold compresses  may help decrease the swelling from the fillers.  Usually the swelling just lasts for a few days.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

Managing Swelling After Juvederm

Most swelling resolves in about three to five days, but it can last up to two weeks. Bruising will also go away in this time. You should refrain from drinking alcohol, smoking, performing vigorous physical activity or extreme temperatures to help facilitate your recovery. You can also sleep with your head slightly elevated and use a pack of frozen peas, placed on your lips for 15 minute stretches 3-4 times a day.

Gel Packs and Time

Swelling after Juvederm is quite frequent and while your physician probably took steps to avoid it, occascional instances of swelling can still happen. Cool gel packs applied for five minutes every fifteen minutes after the procedure will help. If you had a dental block with your injections the swelling will take longer to resolve. I do not think that the gel packs help much on the day after the procedure.

In most cases the swelling should be substantially better after four days. If there was a lot of bruising with the procedure it could take longer, up to two weeks.

If there is tenderness or a good deal of reddness, make sure you return to your physician. It is possible, though very unlikely, you might have an infection. Also, if you develop little water bumps, you could have activated cold sores and this should be treated.

I am quite certain that every physician who has any experience with the fillers, has had a patient who swelled after the procedure. We also, know from experience that the swelling goes away and will do the same with you.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 13 reviews

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.