Second time having Juvederm in the lips, but this time terrible swelling, should I be concerned? (Photo)

It is very common to have swelling after filler injections to the lip. The amount of swelling can vary from person to person, and as in your case even with the same person depending on numerous factors such as the amount of filler place, the type of filler place, the technique used, etc. The good news is, the swelling will go down, and the only volume remaining in your lip will be that provided by the filler itself. This process may take several days, to expedite you may ice the area, I prefer not to use steroids unless it has become very very  bothersome. To ensure you are receiving the highest level of care, seek out a modernly trained, new-school dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.

It can be quite common but you should see your injector to be assessed in person.The foregoing information provided is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only.You assume full responsibility for how you choose to use this information.Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

This is normal.  If it is there after 10-14 days consider reversing the filler with an enzyme called hyaluronidase.  Best, Dr. Emer.

Swelling after lip fillers is very common and often dramatic.  Swelling can be related to filler used, amount injected, technique, and patient factors.  It is often the case that immediately post-treatment, lips are a desirable volume and shape.  Usually within a few hours, swelling increases, during the first 24-48 hours it is extremely important to apply cold compresses and to apply topical emollients to the lips. When considering lip filler injections, planning the best time for injections usually revolves around this potential swelling.

If your lips looked great immediately after the Juvederm injections, then your lips will look great when the swelling goes down. Just be patient.Andrew Campbell, M.D.Facial Plastic SpecialistQuintessa Aesthetic Centers

Thank you for your question. Your swelling is not uncommon. Call your surgeon and send him the picture. A 5 day course of an anti-swelling steroid will help. Lot's of ice as well.Best wishes.

Thank you for your question and for sharing your photographs.  Your swelling is not uncommon after a fair amount of filler placement into the lips due not only to the material itself, but also due to the thin skin of the lips which is prone to swelling.  I would recommend cold compresses to your lips today and tomorrow and you should see steady improvement in appearance. If after two weeks your results are not acceptable to you, your injector can dissolve the product to return your pre-juvederm appearance.

 Thank you for sharing your question and posting your photograph. Although your lips have become very swollen, they will probably look fine in a few days. Try applying cold compresses to the entire lip area for a couple of days. If any pain develops or if the swelling worsens, see your doctor. The Juvederm can be dissolved if needed as a last resort. Good luck.

Juvederm can often cause swelling especially in the lips, since it is hydrophilic.  It can take up to two weeks for the bruising to resolve and to see the full effects.  Best, Dr. Green

Seek injection of steroid and Rx of steroids for 5 days to help with swelling>>>>>>>>>>>>>>>>>>>>>