Duck lips, bumps upper lip bigger than lower lip after Restylane. Will my lips be proportionate over time? (Photos)

Question

I had Restaylne L injections 3 days ago. Two syringes total. I was in a lot of pain in my upper lip and my upper lip is bumpy. The doctor said he used a little more on the upper lip than lower. Is there asymetry with my lips? Do they appear to be proportionate? There is also minor bruising above my lips. I had this procedure 10 months ago and used 1-1/2 syringes and never felt pain like this time around?

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

Thank you for sharing your question. It is not uncommon for the lips to swell following injection of Restylane. Next time your doctor might want to inject less and touch it up a couple weeks later. Use cold compresses in the meantime. Inform your doctor if the pain does not subside quickly. Good luck,

Monika Soni, MD · Answer

Thank you for your question. It is common to have swelling and bumps after lip augmentation, which can take up 2 weeks to resolve. You can ice the lips to help resolve any swelling and gently massage the bumps to help smooth them out. If after 2 weeks you are not happy with your results, you can have the filler dissolved with hyaluronidase. Please remember to follow up with your injector for evaluation. Best of Luck!

Melvin Elson, MD · Answer

3 days is not long enough to determine what the final appearance will be so give it some more time. for the discomfort apply ice and you can take Tylenol

Vicki J. Levine, MD · Answer

Since it is only been 3 days since you had the injection , I would be patient and wait to see what your lips like when the swelling goes down. Also in general if you're happy with one positions results then I would stick with that position rather than changing to another

Faiyaaz Kalimullah, MD, FAAD · Answer

Thank you for your question and for submitting your photos.  The lips are a sensitive area, and are particularly prone to swelling and bruising that can last up to 2 weeks after filler injections.  It's also not uncommon to feel small lumps of Restylane in the lips immediately after injection - over the course of the next few weeks, the Restylane typically absorbs water and softens, gradually blending into your skin.  It's not uncommon for this swelling to be uneven, which makes it impossible to determine what your final results will be until swelling has fully subsided.  Lip injections can be painful, however it's important to bring this up with your injector if you feel that the pain is unlike what you experienced with past injections, as severe pain can be a sign of more serious issues.  
For now, I would recommend gently applying ice or cool compresses to your lips, as this may help the swelling resolve sooner.  If you are still concerned about the appearance of your lips in a few weeks, it would be worthwhile to follow-up with your injector to discuss your concerns.  He/she may be able to gently massage the filler into place, or if needed, inject these areas with hyaluronidase to dissolve the lumps of Juvederm.  Best of luck!

Darryl J. Blinski, MD · Answer

Must wait 10 days to allow for swelling to subside! Than if still uneven might fill smaller side more or use larger side a HA dissolver - hyaluranodiase

Matthew Elias, DO, FAAD · Answer

Thank you for your question.  Please allow 2 weeks for your lips to settle.  If at that time you are still dissatisfied, please follow up with your board certified Dermatologist/PS who injected you for further evaluation and management.  If still bumpy and asymmetrical options include dissolution of the filler with hyaluronidase or adding more filler.  If you are having pain at the time of injection, please discuss this with your physician as this is often a sign that the injection technique is incorrect, though lips can be very painful to inject, particularly if they were not numbed this time and previously were.  Regards, Dr. Matt Elias

Duck lips, bumps upper lip bigger than lower lip after Restylane. Will my lips be proportionate over time? (Photos)

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