Lip fillers 12 hours ago. SEVERE swelling! Please tell me when this will go down. I'm devastated.

Question

I had my lip fillers corrected last night as a previous doctor had left my lips uneven. I had them fixed last night with 1ml over top and bottom. After being in extreme pain over night I've woke up like this. Please tell me this will go down. I'm devastated

Jason Emer, MD · Answer

My suggstion is you go back to your treating physician immediately.  Pain and excessive swelling is not common of soft tissue fillers to the lips.  You may need the fillers reversed and/or treated with steroids and antihistamines to calm down the inflammation.  Pain is a sign of a more serious problem after fillers and is best treated by a formal evaluation and treatment plan.  Best, Dr. Emer,

Young R. Cho, MD, PhD · Answer

Thank you for your question and for sharing your experience.  Swelling after lip injections is very normal.  Icing during and after the procedure definitely helps with swelling reduction. If you feel swollen, then I would continue to ice on and off for 5 to 10 minutes every hour for the first day or two.    it should take several days for the swelling to fully come down. If you have concerns, I would return to your injector who can help guide your further .

Paul E. Goco, MD · Answer

Hey, don't worrythe swelling will definitely go down.  Take some Motrin and apply some cold compresses throughout the day.  It's also good to open and close your mouth as this will also help to lessen swelling.  Do not massage directly on the red lips as this can move the product around.  You can gently massage the "white" skin just above and below your "red" lips starting from the middle outward to facilitate lymphatic drainage of the lips.the good news is that they look symmetrical and the proportions of the upper and lower lip look correct!!Good luck, you will have some great looking lips!!

Simon Zokaie, BSc, MBChB, MRCP · Answer

Thank you for your question. Swelling is a recognised feature after lip fillers. Divrei if swelling can depend on a number of factors including the type of filler (high or medium or low density) injected and the amount injected. The first two days after the injection can be worse but begins to subside although in some cases it take a little longer. I would apply ice to it gently for a day or two and if not resolved get in touch with your practitioner. If however you see the colour changing and turning black and becoming very painful call your doctor urgently. Best wishes, Dr Zokaie, London

Ariel Haus, MD · Answer

Thank you for sending in your photograph.  Without knowing what product was used it is difficult to comment with any certainty.  However swelling and pain are known side effects of lip filler injections, and some patients will experience this to a greater degree than others.  In your own case as you have had lip filler injections before (and presumably did not experience such pain or swelling) and so you may wish to contact your treating doctor and explain your concerns.  In extreme cases, swelling in the lips can last up to 14 days but can be managed by applying ice wrapped in a clean cloth such as a tea towel as often as is needed.  I hope that your swelling and pain settles soon and that you are happy with your final results.  With my best wishes, Dr Haus, London.

Monika Soni, MD · Answer

Thank you for your question. It is common to have some swelling after lip augmentation with hyaluronic acid fillers which can take up to 2 weeks to resolve. You can help reduce swelling by applying cold compresses to the treated area. As HA fillers are not permanent you can have them dissolved with hyaluronidase if unhappy with the results. Please follow up with your injector if you have any other concerns. Best of Luck!

Benjamin Barankin, MD, FRCPC · Answer

The lips swell more than any other area after filler injections, and some fillers swell less than others, and some people just swell more than others. Applying ice packs can be helpful, avoiding things that dilate blood vessels helps (e.g. avoid hot tub/sauna/jacuzzi), and even antihistamines can help somewhat. The swelling always goes down, and thankfully with hyaluronic acid fillers, if for some reason you weren't perfectly happy, an antidote called hyaluronidase can be injected by your dermatologist into the filler to dissolve some or all of it. The pain you have suggests you might have some deep bruising, and that can take about a week to settle down.

Lisa Kates, MD · Answer

You have considerable swelling.  This will definitely improve over the next day or 2.  The majority of swelling is gone in 3 days and by day 5-7 swelling in the lips completely resolves.  The most common products injected into the lips are Juvederm and Restylane.  It seems that Restylane will cause more swelling in the lips in most, but not all,  patients. Also, you mentioned that you had recently had your lips injected by someone else and this was a correction treatment.  The fact that the injections were so close together could account for the dramatic swelling reaction.  The best thing to do would be contact the injecting physician and seek his/her advise.

Sheryl D. Clark, MD, FAAD · Answer

Unless you had Voluma or some filler other than the ones we typically use in the lips, Juvederm Ultra or Beletero, this is an excessive amount of swelling.  I hope you have returned to your physician.Getting volumes less than 1cc and sticking to the fillers that don't swell very much will prevent this side effect in the future.

Vicki J. Levine, MD · Answer

the lips can become very swollen after receiving filler.have you tried icing them to see if the swelling comes down?Sometimes the application of a cotisone crem may helpe

Lip fillers 12 hours ago. SEVERE swelling! Please tell me when this will go down. I'm devastated.

Answers (11)

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