Is this normal? 1 day post 0.4ml Juvederm - immediate swelling during the procedure and after. Hit blood vessel? (Photo)

Question

I had 0.4ml of Juvederm injected into my lips yesterday. I've had this procedure 3 times before over 3 years and never had this issue. During the procedure the assistant was wiping copious amount of blood, and due to the bruising under and over the top of my lip I'm presuming this is a blood vessel that has been hit during. Is this something to be worried about?? What can I do to speed the recovery if this is common? I understand swelling is normal but the bruised in particular is not harmonic.

Jonathan Kulbersh, MD · Answer

Yes, this can be typical after lip fillers. It can take 1-2 weeks for bruising to resolve and for final results. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Leonard Grossman, MD · Answer

The lips have a huge number of blood vessels in it, so it is not completely unusual to get a bruise in the lip during the treatment. You can help the bruise resolve by applying moist, warm compresses to the lip four to six times daily and the Bruise should disappear within a matter of days. Good luck from New York City

Marek Kacki, MD · Answer

Since you have wrote "lips" (plural) I assume you have received the injection in both, the upper and lower lips. If you really got only 0.4ml of filler, divided between both lips, than aside of a bruised upper lip, the reaction is quite dramatic, unless your lips were already overfilled with previous injections. Make sure your injector is aware of it. Stay within limits of natural; there are clear, long term consequences of continuous over-stretching of visible soft tissue, particularly in the lips. Good luck!

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your photographs.  Sorry to hear about your experience.  You appear to have a large bruise.  I recommend that my patients apply ice for up to 48 hours after the procedure.  Arnica is also helpful for minimizing postprocedure swelling and bruising.  Please keep in mind that it will take 2 weeks to allow postprocedure swelling and bruising to fully resolve and to see your final result.  If you continue to have concerns, please be sure to see your injector for an in-person reevaluation in order to determine the best course of action.  Hope this helps and best wishes!

Is this normal? 1 day post 0.4ml Juvederm - immediate swelling during the procedure and after. Hit blood vessel? (Photo)

Answers (4)

Answer: Is This Normal? 1 Day Post 0.4ML Juvederm - Immediate Swelling During The Procedure And After. Hit Blood Vessel?

Answer: Is This Normal? 1 Day Post 0.4ML Juvederm - Immediate Swelling During The Procedure And After. Hit Blood Vessel?

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Is this normal? 1 day post 0.4ml Juvederm - immediate swelling during the procedure and after. Hit blood vessel? (Photo)

Answers (4)

Answer: Is This Normal? 1 Day Post 0.4ML Juvederm - Immediate Swelling During The Procedure And After. Hit Blood Vessel?

Answer: Is This Normal? 1 Day Post 0.4ML Juvederm - Immediate Swelling During The Procedure And After. Hit Blood Vessel?

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Everything you need to know about Juvederm

Our mission is to create a world where every investment in modern beauty is Worth It.