Is excessive swelling normal after Juvederm injections? And is it possible for it to leak? (photos)

And what are these white dots, could it be juvederm leaking out? I messaged a picture to my nurse who did them, she said swelling is normal...but all of this is concerning me.

Doctor Answers 5

Swelling with Juvederm

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Swelling after lip injections with Juvederm is very common.  Wait two weeks until the product settles.  If you are very concerned go back in to see your provider and get assessed again.

Toronto Plastic Surgeon
4.9 out of 5 stars 521 reviews

Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

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I suggest waiting 2-3 weeks before determining if you are happy with the results or not.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Swelling After Juvederm Normal?

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Yes, swelling after Juvederm is normal. The swelling may last up to 2-3 weeks, improving as time goes along. Juvederm is clear in color. The white dots are likely sebaceous or oil-producing glands which are a normal part of your lip anatomy. They are more obvious now because your lips are on stretch. This will get better in appearance as the swelling goes down. Consider using arnica and bromelain herbal supplements to help reduce your swelling.

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Swelling After Lip Augmentation With Juvederm

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Thank you for your question and for sharing your photograph.  Sorry that you are having some concerns about your postprocedure appearance.  Please keep in mind that it will take 2 weeks to see your final result.  Swelling and bruising after filler injection is normal, especially in the lips.  Icing can help for up to 48 hours postprocedure.  Arnica can also help to minimize postprocedure swelling and bruising.  Gentle massage may be beneficial.  In general, after lip augmentation with fillers, it will take 2 weeks to allow for normal postprocedure swelling and bruising to resolve and to see your final result.  If you continue to have any concerns, please be sure to see an experienced injector for an in-person reevaluation in order to best address your concerns and to determine the best course of action.  Any unwanted filler can be easily removed with hyaluronidase.  Best wishes!

Excessive Swelling After Juvederm Filler

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Thank you for sharing your photo.  I am sorry you are experiencing significant swelling.  Most of the hyaluronic acid products, such as Juvederm, are hydrophilic.  Since the product absorbs water over the first 4 hours, there will increased swelling during the day of injection.  The amount of edema (swelling) depends on the amount of product used, the placement of the product (superficial to muscle vs. deep to muscle), and your own predisposition to swell.  One treatment is rapidly improve the edema is to use a diuretic.  

In regards to the white areas, the swelling may be compressing the blood vessels causing blanching.  It may also be due to superficially placed filler.  Please try to arrange an actual visit with your injector.  If he or she is not an experienced injector, find an expert to evaluate you. 

Best of luck,
Suneel Chilukuri, M.D.
Houston, Texas

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Suneel Chilukuri, MD
Houston Dermatologic Surgeon
5.0 out of 5 stars 43 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.