Random overnight lip swelling after Juvederm -- is this an allergic reaction? (Photos)

Question

In April 2017, I had juvederm lip fillers done. Swelling went down after the first few days& I was left with a bump on my upper lip that wouldn’t go away. I returned to my doctor and she dissolved it with hyaluronic acid. Since my procedure in April, there have been 6 times my upper lip has swelled up overnight. Normally, I take an antihistamine & the swelling goes down within a few hours but this time it hasn’t gone down. Allergic reaction? Does it have to do with the juvederm or injections?

Jonathan Kulbersh, MD · Answer

This isn't typical. I recommend following up with your injector. If necessary, the juvederm can be reversed with hyaluronidase. I hope this helps

Anthony J. Wilson, MD · Answer

Delayed swelling is a phenomenon with any HA filler. Typically there is no apparent reason for the sudden swelling. I would see your injector and discuss hyaluronidase. In some cases a brief course of steroid can help. Good luck.

Lisa Jenks, MD · Answer

It's difficult to know what your lips are reacting to.  I would recommend going back to your provider and having her put more hylenex into your lips in order to dissolve the remaining filler, just in case you are reacting to that.  I would also recommend that you pay close attention to what you eat/drink right before this happens.  You might be allergic to something that is coming into contact with your mouth.

Marek Kacki, MD · Answer

The description of your symptoms may suggest a delayed allergic reaction to the filler. This type of reaction is unpredictable. I am not sure whether your photos are in between the episodes or at the time  of swelling. It seems that at the time of your photograph your upper lips is disproportionally fuller and there is overall asymmetry. The only thing to address it is another hyaluronidase injection in attempt to dissolve it all and possible oral steroids. Your injector will most likely find the solution and determine whether there is also a possibility of granuloma formation. Good luck!

Random overnight lip swelling after Juvederm -- is this an allergic reaction? (Photos)

Answers (4)

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