I did one syringe of Juvederm 3 days ago. Right away my upper left lip was completely swollen & bruised. How bad is this?(photo)

The swelling & bruising is so painful, my doctor prescribed me pain meds. I look so awful, I can't even step foot out of my house. My doctor says to give it about 7 days and will look "gorgeous"..I'm worried. I've been laying in bed crying for 3 straight days.

Doctor Answers 5

Complication of filler injection in the lip

This is a rare but serious complication of filler injection. Agreeing with the previous answer I would say that this is likely an intravascular injection of the filler material which has compromised the circulation to a portion of the upper lip.  Three days of vascular compromise can lead to loss of significant tissue and scar deformity.  You should seek the help of a plastic surgeon immediately.


Orlando Plastic Surgeon
5.0 out of 5 stars 11 reviews

Pain after Lip Fillers -- EMERGENCY Lip Vascular Occlusion

This is a complication of fillers when filler goes into a blood vessel or puts pressure on the vessel.  This needs immediate treatment to increase blood flow, reverse the filler, and thin the blood.  I suggest going to an well trained physician.  Pain is not normal after fillers and this is a sign something is wrong.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 179 reviews

Painful lips after 3 days possible vascular compromise

I'm concerned about vascular compromised. The tip of the nose and above lip is involved. I would see you doc immediately. It could all just be bruising but I can't be sure looking at pics. If it is vascular comprimise, immediate hyaluronidase is needed. Perhaps hyperbaric oxygen too because of the time frame. Vascular compromised needs to be recognized in less than 24 hours for best outcomes. Requiring pain medication is a sign things aren't right too. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 35 reviews

Juvederm and Complication

I am concerned with the dusky color of your skin and the effect of your reaction.  You need to return immediately to your treating physician for examination.  It looks like there might be vascular compromise which can be serious.  Please keep us posted.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 71 reviews

Hyaluronidase now

You should return to your physician or better yet an expert in injectables immediately and get hyaluronidase injected into the lips; it appears from the picture that there is either vascular occlusion or compression in this area.  The skin is already starting to look as though it may blister; make sure to apply aquaphor or other emolient to the area several times per day.  To avoid longer term consequences, seek treatment as soon as possible.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 9 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.