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 18

Reducing Juvederm swelling

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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.

San Diego Dermatologist

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

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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!

Don Mehrabi, MD
Beverly Hills Dermatologist

Ice is important

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For my patients, we let them ice before the procedure, during the procedure and after the procedure. We recommend as much icing as possible for 48 hours after the injection there is really no harm in icing especially that first 12 hours after injection. Best wishes

Jeffrey Jumaily, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 17 reviews

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Cold compresses

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Cold compresses are very effective for reducing swelling from injectables. Cold compresses for a 20 minute on,  20 minutes off rotation, 3-4 times per day is usually very effective. I would recommend contacting your injector for the regimen they recommend since there can be many variables in regard to what is effective for you.

Vanilla Ice to reduce swelling after juvederm

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The best thing to do to prevent swelling after juvederm injection is to avoid strenuous exercise, and extreme heat (ie hot showers to face) for the first 48 hours after the procedure.  If patients are really concerned I will recommend using an ice pack 20 min of the hour(during the day) for the first 24-48 hrs after injection.  I will also recommend sleeping with your head up on an extra pillow or two to help elevate things.  I always ice the face immediately before and after injection and this helps to decrease the amount of bruising because it decreases the size of the vessels in the area and therefore reduces chance of injury.  48 hours after surgery you will be able to start taking NSAIDS (ie naproxen) and this may help.  And my personal experience is that a little vanilla ice cream just makes everything a little easier to deal with in life.  The most important thing to remember is that the swelling is not as evident to anyone else as it is to you because you know your face the best.  Good luck with your recovery

Jonathan Amspacher, MD
Kansas City Plastic Surgeon
5.0 out of 5 stars 14 reviews

Swelling and Cold Compress

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Swelling is one of the most common side effects of undergoing Juvederm injection. At times, it may even last for 2 to 4 days after you have had your injection.

And yes, you can reduce the swelling with cold compress or an ice pack. You can place the cold compress, on and off, for about 15 minutes. This will reduce the swelling.

If you have not undergone Juvederm injection yet, you can do the following to prevent swelling.

  • Immediately after the injection, apply cold compress on the swollen part for the first 24 hours following the procedure. Do not directly apply the ice.

  • Do this every 30 minutes while awake .

  • You can also take Ibuprofen only after 24 hours after undergoing injection. Avoid taking it immediately as it may cause bruising. After 24 hours though, there should not be any problem.

Doing this should relieve the swelling faster. You can also sleep in an elevated manner. Make sure that the injection site is elevated higher than the rest of your body. Doing this will decrease swelling incidents in your lips as well as face.

Hope this helps you out.

Robert W. Sheffield, MD
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 23 reviews

How to reduce swelling after lip injection with fillers?

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Thank you for your question. In my opinion, the following can help:

1- Intermittent ice compresses (make sure not to apply ice directly on the skin as this can cause a skin burn)

2- Avoid salt, alcohol and exercise

3- Time is your best bet.

I hope this helps. Best wishes! (Dr. Salameh, Plastic Surgeon, Bowling Green, KY)

Yes, cold compresses can reduce swelling after lip injection

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Yes, gently applying cold compresses to the lips immediately after injections and repeatedly for the first 24 hours approximately every 30 minutes, if possible, can help relieve symptoms quicker. Elevated sleeping the first night is also recommended to reduce any swelling in the face and lips. Avoid exercise too.

Cory Torgerson, MD, PhD, FRCSC
Toronto Facial Plastic Surgeon
4.7 out of 5 stars 170 reviews


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Thank you for your question. Icing on and off for 15 min can help the swelling reduce. You should also avoid salt, alcohol, and exercise for a day or two, as they can make the swelling worse. Good luck!

Janet Allenby, DO
Delray Beach Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

Swelling after Juvederm

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It is common to have swelling for 2-4 days after Juvederm injections. You may use ice packs to reduce the swelling. One day after receiving injections you may take Advil or ibuprofen.

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

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.