Duck-shaped Lips 48 + Hours After Juvederm Filler? (photo)

Question

Should I expect the swelling to be much smaller compared to 2 days ago when I had an injection? When I should start to worry and contact my doctor?

Steven H. Williams, MD · Answer

Swelling due to the injected filler can cause concern in the first few days post injection. Normally once the swelling subsides in a few days, most patients are happy with the end result. If you feel that too much filler was placed at your lip, contact your injector to see what your options are. Hyaluronidase can dissolve the filler, but usually giving it some time for the swelling and bruising to resolve and even massaging it can help.

Sam Naficy, MD, FACS · Answer

It is very common to have swelling and occasionally bruising such as you have. The peak of swelling is usually within the first 24-48 hrs. then is starts going away. Usually by day 3-4 the swelling goes down and things look better. So be patient, you may be very happy with your results in another week!

Gregg Kennedy, MD · Answer

Thanks for presenting this common problem for discussion.  The problem of swelling after injection, either as "duck lips" or just "too big" lips, is related to the type of filler injected, the force of injection, the amount of filler injected, and most importantly, your reaction to the injection and to the filler.  It is best to wait 2 weeks for all the forces acting on the lips to come to rest; if your concerns become worries before that time, then your doctor will want to help you with this issue. Ice and Benadryl for the first 48 hours is good practice.  Removal of filler is rarely needed, but it can be done simply with hyaluronidase injections. I hope this was of benefit.
Best,
Dr. Kennedy

Anatoli Freiman, MD · Answer

There is often initial swelling after soft tissue fillers e.g. Juvederm injections, and this typically lasts up to a week. Best to have a follow-up visit with the injector 1-2 weeks after the procedure.

	Anatoli Freiman, MD, FRCPC

	Toronto Dermatology Centre

Darryl J. Blinski, MD · Answer

Thanks for the question and posting the photo. Swelling occurs with lip injections. The issues are how much was injected, are you a "bleeder" or taking blood thinning supplements (like fit. E), or where you a true candidate for lip fillers??? Thus if you are posting this question and photo YES call your INJECTING DOC and be seen. In most cases this will subside over a weeks time. But better safe than sorry CALL.

Sheri G. Feldman, MD · Answer

Juvederm and other Hyaluronic Acid fillers can take on water for about 48 hours after injection so the swelling that you have may be due to this excess fluid. Without "before" pictures, it is difficult to say whether or not too much filler was used. The bruise on your left side will take longer to resolve than the swelling. If you feel that too much filler was used, it can be dissolved with Hyaluronidase. It is never too soon to contact your injector if you have concerns.

Cheryl A. Hull, MD · Answer

Many patients fear being over injected or having "duck lips" as you described, especially when they first get their treatment done. Since it has only been two days and you have noticeable bruising in your photo, time is going to be what you need. I would wait until all the bruising has subsided and then reevaluate your lip's appearance. You want your lips to be proportioned-1/3 upper lip and 2/3 lower lip. If they are not, I would definitely discuss with your provider. I would also consider adding fillers to your chin where you have lost volume. This will help balance your entire lower face. Hang in there!

Duck-shaped Lips 48 + Hours After Juvederm Filler? (photo)

Answers (7)

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