How Do I Fix my Over-filled Lips?

I just had Restylane injected yesterday and my immediate results were a tad too plump but was assured it was swollen. Now, the next day, they are ridiculously large. What can I do? I feel so foolish for messing with my face.

Doctor Answers 11

Overfilled Lips

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Significant swelling can be very common after having Restylane injected at the lips. The swelling will continue to reduce over the next several days, so I suggest you give it some time. If after 2 weeks, you still feel that they are too large, you may ask your injector about hyaluronidase which is a product that will dissolve the filler. Most of the time, patience and massage end up being sufficient. Swelling is usually most prominent when waking up in the morning, so head elevation can help reduce swelling.

Restylane and swelling

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Sometimes lips swell to a "ridiculously large" size, then settle down after several days....icing is good, and patience too. I would recommend following up with your provider, just so they're aware - but I wouldn't consider removing the product until after the swelling has subsided.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Swelling after Restylane in the lips

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Swelling can be present for a week after filler injection. So I wouldn't judge your results quite yet, but may want to notify your doctor so they reconsider the volume amount they inject in the future. If you are experiencing pain or itching, you should notify your doctor.  Good luck.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 91 reviews

How Do I Fix my Over-filled Lips?

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You are most likely still swollen, as the swelling can last for a few days with some patients.  As I’m sure you are aware, Restylane is reabsorbed by the body in varying amounts of time (generally 6 to 9 months), and I would give it a few more days.  If, indeed, you feel that your lips are too “plump”,  Hyaluronidase is a natural substance found in the body, and may be injected into the area where the Restylane was injected, and this will catalyze the breakdown of the Restylane. 

Jonathan Ross Berman, M.D. , F.A.C.S.

Jonathan Berman, MD
Boca Raton Plastic Surgeon
4.7 out of 5 stars 19 reviews

Fixing Over Filled Lips

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I would suggest you wait seven to 10 days before judging the results of the treatments.  After this time, you can reverse the treatment with hyaluronidase.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Restylane Injections and Swelling.

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This is a normal response.  Give yourself at least 7 to 10 days before considering to dissolve the product completely.  Icing the area treated as much and as often as you can for the first 24-48 hours can help decrease the swelling as well.  Follow up with your provider in 1-2 weeks if you are still unhappy.  


Dr. Grant Stevens

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 152 reviews

Swelling after Restylane

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Immediately after the treatment, the treated area can be slightly swollen and red. This is a normal result of the injection and it generally goes away in a day or two. I suggest giving it a few more days and using some ice compresses. Also, sleep with your head elevated on several pillows for a few nights.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

How Do I Fix my Over-filled Lips?

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 IMHO, you should wait a week to be sure some of what you're seeing is not swelling.  You as always should discuss this with the MD that did your Lip Augmentation.  Remember there's no inherent magic in any filler.  The magic resides in the MD's ability to understand and follow the proper aesthetics of facial beauty for the creation of naturally, full and attrractive lips.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Severe swelling from Restylane lip enhancement

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I always recommend waiting at least one to two weeks for the swelling to go down after the treatment before worrying about any long-term adverse effects or considering any "touch-up" treatments such as additional filler injections or reversing the treatment using hyaluronidase. The typical side effects associated with hyaluronic acid fillers such as Restylane include bruising, redness, swelling and pain. These occur in as high as 90% of patients and usually resolve within one week.

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon
4.7 out of 5 stars 12 reviews

Severe swelling is possible but uncommon following Restylane treatment.

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I would recommend that you be patient for at least a week.  Most of the swelling will be gone by  then.  If you are still concerned, check back with the doctor that performed the procedure.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.