Worried doctor overfilled my lips. 2cc's Restylane Silk (Photo)

Question

I had lip augmentation done today. The doctor injected Restylane silk into my top and bottom lip. He used 2cc's- 1cc for top and 1 cc for bottom- two full syringes in total. My lips are now painful, swollen and appear duck-like. I'm terrified. Everything I'm reading is telling me that 1cc between both lips is normal. I wanted a "natural" look. They also appear very uneven on the bottom and are brushing terribly. I also paid close to $1,500. I don't know what to do. Is this normal?!

Jose M. Soler-Baillo, MD, MS · Answer

Hello and thank you for your question!
Patients are often shocked by the very drastic swelling that can occasionally occur following lip fillers in particular. It has also been my experience that among those patients who do swell a lot, Restylane Silk causes more swelling than Juvederm. That said, Restylane Silk does definitely give a more natural and smoother appearance after all the swelling has subsided. I hope by now (3 months after you posted the question) you have achieved the look you were after! If this is the first time you have ever had any type of fillers, you may notice that in subsequent visits, you won't swell as much.
Good luck to you.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

David S. Felder, MD · Answer

It is very early and the swelling will resolve in the next couple of days. That being said, the majority of my patients receive one syringe of Restylane Silk as I think it is a more natural look than using two syringes in that area.

Gregory Baum, MD · Answer

Thank you for your question.  Based on your photographs it appears to have some swelling and also bruising after your upper and lower lip injections.  This is common after filler injections to this area.  I recommend that you continue putting ice on your lips.  Try not to squeeze or touch them too much beyond that.  I would also make sure you have a follow-up with your inject her scheduled for a recheck.  Best of luck.

Landon Pryor, MD, FACS · Answer

Thank you for your question and photos. You are experiencing swelling which is very normal, especially following the injection of that much product. It is not unheard of to inject two syringes at the same time, although it is not something that I personally do very often. Give it time for the swelling to go down.Best of Luck,

Matthew Richardson, MD · Answer

The lips can swell fairly significantly after any manipulation or trauma such as injections or surgery. Bruising is also not uncommon. The swelling also may get worse after the first day, and patients will often wake up with significant swelling the day after injections. Swelling can take several days (or sometimes even longer) to resolve, so patients should be encouraged to be patient and remain calm. Keeping the head elevated, using cold packs immediately after injection, and limiting the trauma of the injection itself can all help to decrease swelling. Avoiding NSAIDs, aspirin, and other blood-thinning medications or supplements can help to decrease bruising, as can the technique of the injector. 
As always, a visit with a well-trained facial plastic surgeon is recommended.
All the best,

Aldo Guerra, MD · Answer

Thanks for sharing. I think your early results shows swelling, but an overall good shape. Generally speaking, swelling with the Restylane Silk is more pronounced. Silk is a very good filler for achieving a more natural looking result. I think that by two weeks, you will begin to see a better outcome. Be sure to follow up with your injector. You should avoid massage, but continue to iced with frozen peas. Best wishes, Dr. ALDO

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question. I hope by now the swelling has resolved and the lips are the fullness you were seeking.  2cc's is quite a bit at once, so next time you might want to ask your dermatologist to just use one syringe, which will be less expensive for you, and perhaps give the natural look you want with less swelling.  You can always add more.
Best of luck!

Cynthia Stolovitz, MD · Answer

This product is known to swell in the lip area. Typically swelling will last for 48-72 hours and then subsides, so  you would have to wait until the swelling goes down before you  can say  anything  about the final result.
2 cc in the lips is a bit excessive for my personal liking.
Wait 2 weeks before you decide anything.

Robert Whitfield, MD · Answer

More time will allow the selling to resolve.  It is very important to always communicate your goals.  I tend to inject conservatively to avoid these situations which are to stressful for patients.

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