Extreme swelling after Juvederm lip filler? (Photo)

Thank you for including the pictures. You have a very nice
lip shape and structure to work with for lip enhancement. When performing lip
injections, I always inject both the upper lip and lower lip in order to
maintain appropriate balance. For those patients that desire a fuller and
larger lip volume, the best results are obtained when the augmentation is done
more gradually over time, rather than trying to accomplish a single result all
at once.



One explanation for the excessive swelling
that you have in your upper lip is due to the amount of volume that was
injected. A full syringe of Juvéderm is a significant amount of filler to place
in your upper lip. Swelling after hyaluronic acid injections into the lips is
the norm. Generally speaking, the more filler that is injected, the more
swelling that will occur. Juvéderm is also quite hydrophilic, and binds a
significant amount of water, so it can sometimes swell more than other fillers.



Although we typically recommend cool
compresses to reduce swelling and bruising following lip injections, excessive
and/or prolonged application of ice (especially in direct contact with the
lip) can create additional trauma (mild frost bite), and lead to
additional (some times significant) swelling as well.

Given some time, this should slowly improve.
Contact your physician for further guidance. Best wishes.

It is common to get swelling after fillers into the lips. It is not normal to have irregularities or severe swelling. If you are unhappy you should speak to your physician and have the area injected with hyaluronidase, an enzyme that reverses the hyaluronic acid filler. For the next injections, consider Restylane Silk with cannula injection, this technique will limit the pain, swelling or bruising after the filler placement. It often takes up to two weeks for swelling to subside on its own. Find an expert in filler injections for your future treatments. Best, Dr. Emer.

I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done
with a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary if the bump is from the filler material
itself. Get Arnica gel if you can find some and apply a few times a day as well
to help treat any swelling. Avoid any blood thinners. Bruising can also last
1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks
until the swelling has resolved. If it is persistent or you are worried, set up
a follow up appointment with your dermatologist.