Filler added to my lips (Volbella) 4 days ago. A vbeam was used to help defuse the the large bruise on the bottom lip. (Photo)

Bruising after fillers can definitely happen as there are lots of blood vessels in the lower face and especially around the lip area. These resolve within few days to few weeks and should not leave any permanent changes.I hope that helps and best regards, Dr. Sapijaszko.

Any injections run the risk of bruising.  The lips are obviously quite vascular and bruise easily.  Thankfully, this is a self limited process and should fully resolve in about 2 weeks (depending on how you individually usually bruise).  Did you start the Arnica the night before the injectios and ice after for a day?  These can help minimize bruising.  Also, you can ask about using blunt tip cannula technique for injection.  I have yet to see any bruising from my lip injections using this technique.  It can't be used for everyone in every instance, but for the majority of lip augmentations, it is an excellent technique at diminishes the risk of bruising.  All the best!

Thank you for
your question savoirvivre. I understand your concern. Volbella is a
hyaluronic acid filler designed to enhance the lips. It is unclear whether this photograph was taken before or after the Vbeam treatment. With any injection such as Volbella bruising is possible. Typically bruises resolve on their own in 1-2 weeks. In our office we treat bruises with a laser as early as the next day. In these cases the bruise usually resolves faster, typically in 1-3 days. However sometimes it still takes up to 2 weeks for full resolution. Sometimes the bruise gets darker before it disappears. I tell my patients about the risk of bruising with injectables so that treatments are not planned prior to an important event. Some patients tell their friends that the bruise was a result of a dental treatment. Please
consult with a doctor for specific recommendations. Good luck!

Bruising can occur with any lip filler and yours will take time to resolve.Prevention with avoiding aspirin or blood thinners is important.

I always tell my patients to not love their filler
injections for 2 weeks. Swelling is very common and sometimes immediate. It can
last 3-7 days and a good idea is to use cold compresses. Cold compresses may be
used immediately after treatment to reduce swelling only if needed. This may be
applied for 3 minutes, 3 times per day, for up to 3 days. This is best done
with a bag of peas in a zip lock bag. Only apply light pressure to the area but
gentle massage might be necessary. Get Arnica gel if you can find some and
apply a few times a day as well to help treat any swelling. Avoid any blood
thinners. Bruising can also last 1-2 weeks. I don't recommend hyaluronidase
this early and wait a few weeks until the swelling has resolved. If it is persistent
or you are worried, set up a follow up appointment with your dermatologist.