Can I move/spread out my lip filler?

Question

I had 0.55 of juvederm yesterday and today I can feel most of the filler collecting at the sides/corners of my top lip. Is it a good idea for me to push the filler towards the centre of the lip? This is where I would like more fullness.

Rupert Critchley, MD, MRCGP · Answer

Hi there,

At this stage it is difficult to say whether the 'filler collecting' that you feel is actual filler or swelling after the injections. It is always a good idea to gently massage product as it can help to even it out under the lip surface over a 24-48hr period. Apply ice / arnica if you have it to reduce swelling / bruising and make sure you have a review appointment in place after around 2 weeks for the injector to check up on results / progress.

I hope this helps!

Best,

Dr Rupert

Monika Soni, MD · Answer

Thank you for your question. It is too early to determine what your final results will be. At 1 day post procedure it is more likely what you are experiencing is swelling. It will take up two weeks for all swelling to resolve and to see your final results. You can apply ice to the treated area to help reduce swelling. If you have any lumps or bumps you can gently massage them to help smooth them out. Please see your injector at 2 weeks so they can check on your progress. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. It is too early to determine what your final results will be. At 1 day post procedure it is more likely what you are experiencing is swelling. It will take up two weeks for all swelling to resolve and to see your final results. You can apply ice to the treated area to help reduce swelling. If you have any lumps or bumps you can gently massage them to help smooth them out. Please see your injector at 2 weeks so they can check on your progress. Best of Luck!

Jennifer Rullan, MD · Answer

Immediately after placing the filler, swelling begins.  This makes it difficult to differentiate between filler collecting on the sides of your mouth or else just swelling.  If there is a bruise, this will also feel like a filler bump, but it is likely just swelling from the blood and it takes at least a week to improve.   We tell our patients that they can gently massage a bump toward the direction they want the filler, however, it is best to start to massage on day #2 or #3.   It is important to gently massage with Vaseline or Aquaphor and avoid over aggressive (pushing too hard) or prolonged (more than 10 seconds) massaging.  You can gently apply minimal pressure toward the direction you want to move the filler and then stop.  The massaging will lead to more swelling so then you wont know if the massaging worked because you will swell up.   Ice and arnica can help reduce swelling.  Spicy food and NSAIDS (like motrin or ibuprofen) can often times lead to more swelling after lip fillers.  Finally, make sure to schedule a follow up appointment 1-2 weeks after your filler with your provider.

Onir Spiegel, DDS, PhD · Answer

Hi,
Yes! you can massage the fillers and have some movement, especially the first day or so.   I would be careful though and make sure you speak to your injector first as you can also move the filler out of the lip and undo the work you had done.  Let the swelling settle down and check again with your injector.  You may just want to have more filler placed.  There are many options and even in the Juvederm family of fillers there is Volbella which may be perfect for that correction.  Take care!

Michael H. Gold, MD · Answer

Thanks for your question – and as always we recommend that you have these injections performed in the offices of board certified dermatologists or plastic surgeons as we are the true experts in how to best perform these injections and also on what to do after the procedure to maximize the results.  Swelling, for up to two weeks, is not uncommon following lip injections and you need to wait to see what the final results look like. Also, massaging at this point is not going to do much and as noted, may be counter-productive. We also tell all of our patients that if there are concerns, to contact the office and we are always happy to discuss the treatments with our patients and make sure that things are progressing the right way.

Christian N. Ford, MD · Answer

Thank you for you question.  Please keep in mind that it will take 2 weeks to allow for normal postprocedure swelling and bruising, if present, to resolve and to see your final result.  Based on what you describe, I would recommend that you see your injector for an in-person reevaluation in order to determine the best treatment plan.  Your injector may be able to smooth the product, if necessary, and may instruct you on postprocedure massage to any areas of fullness.  Hope this helps and best wishes!

Steven F. Weiner, MD · Answer

It is unlikely that you will be able to move the filler from the sides to the middle with just massage. In general, only the small nodularity will be helped with massage. Be careful, overly aggressive massaging will prematurely degrade the filler.

Kris M. Reddy, MD, FACS · Answer

While each injector will instruct his or her patients per his or her post treatment protocol, the norm is to return to the injector so he or she can evaluate rather than a patient attempting to manipulate the juvederm on his or her own.

Can I move/spread out my lip filler?

Answers (9)

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