How Long Does It Take for Swelling to Go Away from Juvederm/Botox?

Had lines in upper lip and nasal folds done. Didn't want to change fullness, but now my upper lip looks like I got punched. How long before swelling goes away?

Doctor Answers 6

Swelling from Juvederm and Botox should subside in about 48 hours

Swelling from the Juvederm and Botox treatment is mostly related to water being absorbed by the Juvederm.  I can also be related to tissue trauma caused by the injections.  To get the least tissue trauma, blunt cannulas are preferred.  Bruising can also cause swelling.  In general, without any significant bruising, swelling will be better after about 48 hours.  The lips may take a little longer.  Sleeping with your head elevated helps with reducing swelling.  I tell my patients after they leave to expect to have swelling then to have a diminished result of about 10-15% from what it looks like just after I'm done. 

Panama City Facial Plastic Surgeon
4.7 out of 5 stars 41 reviews

Hyaluronic fillers draw in fluid

Fillers like Restylane, Juvederm, and Perlane tend to draw in fluid in addition to the normal swelling from an injection. The swelling and initial response can last a week or so. I generally tell my patients that the result they see at 2 weeks is pretty much what they can expect.

Botox should have very limited swelling...just at the site of injection, which should resolve in an hour or so. If you are unlucky, you might a get a little bruise at the site of injection.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 37 reviews

Swelling after juvederm

Thank you for your question. Swelling is possible everytime a needle penetrates the skin. Having said that, I typically find that the degree of swelling varies based on the treatment and location. For example, swelling after Botox is usually minimal (unless you bruise). Juvederm in the nasolabial folds also has minimal swelling. Juvderm in the lips, however, can result in a lot of swelling. It's a good treatment to do on Friday so the swelling can be reduced by Monday.  The more you ice during the first couple days, the less you swell.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 37 reviews

How long before swelling goes away from Botox and Juvederm?

Swelling from Botox is usually insignificant unless there was bleeding and trauma then it's more about the trauma and bruise than Botox.  Juvederm is a different matter. It is naturally a volumizer and swells as it expands in your tissues. Any trauma or bruising adds to this.  So right after the injections it's hard to know if it is just swelling or too much product.  You will have to give it about a week to see how it settles before you can tell what your final results will be.

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

Fillers, Juvederm and Restylane in the upper lip can cause a several days of swelling, a rare side effect, not a complication

Lip inections can cause a significant swelling in a few individuals, it is expected to go away in a few days, it may be more long lasting or shorter.

why this occurs, is not understood, but similar to trauma to the lip inducing a tremendously more swollen area than other sites, it is expected to be temporary.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Swelling from Juvederm

On average we tell patients to expect swelling and bruising from Juvederm or other fillers to last about 7-10 days. Botox should have minimal swelling or bruising, if any, and usually if it does it's only at the site of injection for a day or so. Because fillers are used to volumize, what's being injected under the skin is actually filling it in, and that's why there's bruising and swelling. Expect it to last several days and don't take any Advil or Aleve, pre or post procedure. You can also ice if you'd like but that's usually not that helpful after the second day. If you have any concerns, call your injector for an appointment.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

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.