Dermal filler in lips: Very swollen on one side, I'm only just over 24 hours. (Photo)

Question

One side of mouth looks bigger then the other after HA lip filler. I'm only just over 24hrs but freaking out. I can feel a lump in my top lip also. Very bruised. Is this normal

Jonathan Kulbersh, MD · Answer

Swelling can be typical, which can be asymmetrical. Icing and cold compresses may give improvement. 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!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. It is not unusual to have asymmetric swelling following injection of fillers in the lips. Things will calm down in a few days. Cold compresses and Arnica might help. Good luck,

Jason Emer, MD · Answer

It's too soon to tell what your final results will be. You may have swelling, which can be asymmetrical, and last 1-2 weeks after lip injections. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

Julia Ann Sullivan Miller, MD · Answer

Filler injections to the lip can result in significant swelling and bruising.  You should give your lips some time to heal, generally around 1 week.  If your concerns persist you should return to the doctor sho did the injections to discuss your issues.  Good luck

Alexander Rivkin, MD · Answer

Hello and thank you for your question. From the pictures, it looks like normal post injection swelling. Swelling is a common minor adverse event that can occur after the injection of dermal fillers (or anytime a needle is placed into the skin) and it can be asymmetrical. Fortunately, this is temporary and there are ways to help minimize the effects. It is still early after injection, so a few days of icing and intermittent massage may solve the problem.
It can take up to 2 weeks for the adverse events to resolve and for your fillers to be settled into your lip tissue. If you’re unhappy with your results or the lumps do not resolve, the filler can be reversed with hyaluronidase.
I hope that this information helps! Please let me know if you have any further questions!

Pacific Plastic Surgery Group - San Francisco · Answer

Lips are highly vascularized and a risk of having multiple injections into the lips is bruising/bleeding.  The swelling and bumpiness you see may be just that-bruising and bleeding, which will resolve with time.  Also, there is inflammation from the injections themselves, which will require time to go away.  We recommend waiting at least 1-2 weeks to see how your lips respond before going back to your provider to address the issue.

Ingrid Trenkle, MD · Answer

It is very common to have this swelling in the lips after being injected. Some fillers swell worse than others, but I agree, I would give it at least 1 week then if you still feel they are uneven I would have your injector fix them.

Spa 35 - Boise · Answer

This is completely normal. Lips often swell a lot. 24 hours post injections you are going to be most swollen. I tell my clients to wait a full 2 weeks after injections to let the bruising and swelling go down, THEN you will see your final results. If you don't like it after 2 weeks, you can always use hyaluronidase to erase filler if you don't like it.

Melvin Elson, MD · Answer

Injections into the lip typically result in significant swelling for a few days and bruising is also common.  the uneveness may resolve over the next week so give it some more time

Dermal filler in lips: Very swollen on one side, I'm only just over 24 hours. (Photo)

Answers (9)

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