I had my lips injected today with Juvederm and am wondering if appearance is due to swelling?

I had my lips injected today with juvederm and am wondering if appearance is due to swelling. My lower lip in the corner area on one side is fuller than the other side. I don't know if this could be just swelling or if perhaps I was injected with too much too far into the corner. My question is within 8 hrs after injections would I have a good picture of evenness of my lips or due to swelling is it hard to tell. Thank you.

Doctor Answers 84

Expect a lot of swelling after lip injections with juvederm or restylane

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For patients undergoing lip injections for the first time, the post-procedure period can be tough because of the amount of swelling seen after the procedure. Interestingly, my own experience and the studies funded by Medicis (makers of Restylane), noted that younger patients (20's to 40's) tended to swell significantly more than older patients (>50). For my patients, I suggest that they get their injections on Fridays so that they have the weekend to recover. This 3 day period is usually sufficient for the swelling to come down. It is definitely not a "lunchtime" treatment. I also tell my patients that their lips will look ridiculously big at first. In addition, asymmetry is often noticed by the patient, but you can have differential swelling after the procedure. The best time for evaluation is seconds after the product is placed and hopefully your injector is skilled enough to achieve that symmetry right off the bat. Sometimes small touchups are necessary

Whatever you do, go to a board-certified MD injector with experience with lip injections, and don't let anyone put permanent lip fillers or Radiesse in your lips. Stick with hyaluronics such as Juvederm and Restylane.

Michael M. Kim, MD


Portland Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Too much Juvederm? Wait 24 hours, then freak out (just kidding)

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Your question has probably been answered by now as you can usually tell within 24 hours after Juvederm injections whether there is too much (as long as there has not been excessive bleeding or hematoma formation). If there is too much or if it is asymmetric, it can be dissolved with Widase or Vitrase. Just avoid permanent fillers in your lips. Be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Juvederm can cause swelling for usually 2-3 days before settling down

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During the first 1-2 days the swelling from juvederm is noticeable and is almost always uneven. One side always swells more than the other and it could change the next day.

Try not to look at your lips for the first 2 days and do not massage them during this time since it only aggravates the swelling. Ice and arnica are helpful. Sometimes a little touch up of juvederm is needed a week later to smooth out any irregularities.

Juvederm is a great filler for lips and other areas of the face. Cost is roughly $550/syringe.

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 46 reviews

Juvederm and swelling

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Since the act of injecting involves using needles to introduce the product there is going to be some element of swelling and bruising with every type of injection. Multiple factors can influence swelling including the product used, the area injected, recent intake of aspirin or similar medicines, underlying medical conditions of the patient, and to some degree the skill of the injector. Before I do Juvederm injections, I use local anethesia with adrenaline in it and wait 10 minutes before doing the injections, this constricts the blood vessels before the filler is put in and greatly decreases the chance of bruising. 

Ben J. Tittle, MD
Dallas Plastic Surgeon
4.8 out of 5 stars 33 reviews

Swelling Following Juvederm Injections is Not Uncommon

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Swelling following lip injections is not uncommon. Juvéderm, Restylane (soon Restylane Silk) and Belotero all can be injected into the lip area, and my first recommendation is to make sure you are going to a very skilled injector – a board-certified dermatologist or plastic surgeon or an injector associated with these offices. Swelling can be treated with ice, and in several days it should resolve. Any pain in the area should be brought to the attention of the injector and looked at to make sure there is nothing wrong which needs to be addressed.

As a rule, Juvéderm may swell more than the others – but still may be useful here. Your injector will be able to work with you to determine which is best for you.

Michael Gold, MD
Nashville Dermatologic Surgeon
3.9 out of 5 stars 17 reviews

Swelling after Juvederm

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Normally the swelling from a Juvederm injection subsides within 24-72 hours.  I would recommend icing the area for 5-10 minutes every two hours while awake today and tomorrow, then see how things go.

If there was some bleeding within the area of injection that seems fuller than the other side, it may stay swollen a few more days, but should resolve within a week or so.  Again icing within the first 48 hours helps quite a bit.

Emily Altman, MD
Short Hills Dermatologic Surgeon

Juvederm Swelling

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Juvederm swelling is difficult to assess immediately after.  Steps to decrease swelling include:

  • Antihistamines (oral) can decrease swelling faster in the lip.  
  • Most patients like the swollen phase, especially when properly injected though.  
  • Ice
  • Massage in specific instance can be helpful

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 181 reviews

Swelling after lip injections

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It is perfectly normal to have some swelling after having your lips injected with Juvederm.  It is also not unusual to have the swelling appear uneven. It is important to remember that your lips are likely not 100% symmetrical to start with.  Most people don't realize that there is  asymmetry until they do something to their lips and start to look very carefully in the mirror.  Give it a few days for swelling to subside before you can truly asses if there is significant asymmetry present or it was simply due to swelling.

Victoria Karlinsky, MD
Manhattan General Surgeon
4.7 out of 5 stars 26 reviews

Swelling following a Juvederm treatment?

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In most Juvederm treatment areas, the majority of the swelling should subside within 2-7 days, with the lips being closer to 7. If you noticed bruising after your treatment it may take up to 10 days to resolve, during which time you can wear make-up to cover. Avoiding aspirin, ibuprofen, and alcohol for 48 hours before and after your treatment is advised, as they are all blood thinners and may increase your chance of bruising. Swelling at the Botox injection sites usually only lasts about 20 minutes, and bruising is unusual.

Frances Jang, MD
Vancouver Dermatologic Surgeon

Swelling in the lips after Juvederm

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Restoring natural volume to the face has been a great advance in facial rejuvenation. Purified gels, such as Juvederm, are used to restore this volume and are often used in the mid and lower face. A very common side effect with lip injections is swelling which may last for hours or a few days. During this recovery time, the lips may appear uneven. If this unevenness does not improve after one week, I would consult with your injecting physician to reevaluate the product placement.

Miriam Hanson, MD
Austin Dermatologist

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.