Extreme swelling bruising and throbbing from juvederm? (Photos)

I had juvaderm placed into my top lip and smile lines yesterday I had one poke on my right side of my lip and 3 on my left one on my smilenline. Within 30 min the swelling and throbbing became unbearable i went back to the dr and she iced it and asked me to return tomorow (today) for follow up. I woke up with it even worse My whole face hurts even my teeth - What should I do at this point

Doctor Answers 9

Juvederm and Side Effect

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It is difficult to tell from the photo but I would be  concerned that it is a vascular occlusion event and I would return immediately to your treating physician for examination and possible Vitrase to dissolve the product.  Best, Dr. Green


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It appears that you may be having a vascular occlusion event. It is very important that you are seen immediately by your doctor to have the filler dissolved. 


Dr. Quenby Erickson

See a Cosmetic Dermatologist for Hyaluronidase

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I recommend following up with your Dr. for a formal evaluation today. This looks like it may be vascular occlusion and needs to be treated. See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

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Lip pain after filler

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I can't tell for certain, but this looks like a bruise. With a careful physical evaluation, it can be determined if this is vascular occlusion or not. I don't usually have patients complain of pain a day. later. That's why another evaluation is needed. Bruising can last 10 days after the procedure unless a laser is used to break up the bruise.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
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Please follow up with your physician

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Please follow up with your physician for an in person exam and evaluation.  It looks like a hematoma, but difficult to access from a photo.

Extreme Swelling and Bruising

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Thank you for your question. It is difficult to determine if this a bruise or vascular occlusion. If this is bruising it can take up to 2 weeks to resolve. I recommend having this evaluated in person by your treating physician. 

Hardik Soni, MD (not currently practicing)
Summit Emergency Medicine Physician

Juvederem treatment

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I'm sorry that you are having issues with your treatment.  It appears from your photos that you may have an occlusion.  This is something that needs to be evaluated by your doctor today.  Contact your provider for follow up.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Your lips

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I would recommend following up with your provider immediately. You need immediate evaluation.


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I would follow up with your physician immediately. It looks like you may have a vascular occlusion and the filler will need to be dissolved and the area treated as soon as possible. 

Lenore Sikorski, MD
Orange County Dermatologist
4.4 out of 5 stars 25 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.