Cannot Drink from a Cup or a Bottle of Water After Botox Above Lip, Is this Normal? (photo)

It is very common for some bruising to appear after an injection treatment, and your photo indicates that it's limited, which is a good sign. The bruising will gradually go away within two weeks or so. Unfortunately, your administrated Botox may have been too much and caused too many muscles to relax. For this to resolve, you'll have to wait for the Botox effects to go away, which could be a few months.

I suggest you wait for about 2 weeks before assessing your results. At the two week mark, return to your injector and discuss your concerns if you still don't like your results. Swelling, redness, discomfort and possibly bruising during the first few days following the injection is common. Most of this settles down within 3 days. Occasionally, the swelling can last up to one week, as well as bruising.

Regarding the Radiesse injections it is very normal to bruise following any injection involving multiple needle sticks into your face or lips. I recommend to my patients during a consultation to stop all supplements or medications IF possible that thins the blood. This decreases the risk of bruising. Botox injected into the upper lip for vertical lines will relax the orbicularis oris muscle around your mouth, making it difficult to spit after brushing your teeth or take a sip of water out of a bottle due to the inability to fully purse your lips. The bruising is normal and will fade away. The Botox will gradually fade within 3-4 months.

From what you are describing, you are having the expected results from Botox injections around your mouth. If you were unaware of the expectations and how this would affect you, you might want to revisit your provider and learn about the benefits and risks of product placed in certain areas. It is normal to experience bruising and swelling post any dermal filler injection and if you have concerns, make an appointment for further assessment.

There are a number of patients who have benefitted from this off-label treatment by me, and other doctors, but Botox injected into the upper lip needs to have very concentrated small units of Botox liquid injected and only in very few insertion sites and at the right level of the upper or lower skin-colored lips (not the red lips). This can help minimize pursing and soften the lines. It is an excellent adjunct for fillers but I tell all my patients in advance that there can be difficulty eating, drinking, they may exhibit some dribbling, have difficultry pronouncing certain letters, such as "w', brushing teeth, etc. I do not offer it to musicians who play wind instruments or singers and discourage newscasters and other public speakers from doing this. The bruising from Radiesse in the smile folds will go away in two weeks or so. There can be stiffness in these areas that soften over time.