72 hours after lip filler 1 ml total - lump or swelling? It was there yesterday but not as prominent. (photos)

Question

I got Restylane Silk on Fri. There is something asymmetrical that has grown on my top left lip and I'm not sure if it is swelling or excess filler or what. It is next to a bruise. Could it be internal bruising causing this lump? It feels puffy, tender and juicy. The rest of my lips still feel tight but some of the swelling is going down but not the top left. I've been icing, using warm compress and taking Arnica. I swell a lot and left the doctor's office looking like a pufferfish too.

Aldo Guerra, MD · Answer

Hello Montana.Your swelling is significant and not unusual. I usually recommend lots of icing and to avoid massage with Silk. You can speak with your injector about your concerns and see if they approve Arnica to reduce the swelling.Best wishes,

Harold J. Kaplan, MD · Answer

Hello,
It is not unusual to have profound swelling in the lips following a treatment.  We've noticed a delayed reaction with the SILK product wherein swelling becomes more of an issue several hours following the treatment.  Contrary to suggestion, we advocate that you do not massage, squeeze, manipulate the product.  This will generally exacerbate the swelling and/or move the SILK product out of the treatment area.  We also would discourage warm compresses at this point in favor of an anti-histamine, Ibuprofen, and a gentle touch with avoiding intentional massaging or squeezing.  If you are observing swelling only, this will improve with each passing day.  If there was bruising, it's not unusual to have lumpiness.  Most of all, keep in touch with your injector so that they may offer good feedback and address any concerns that do not seem to be resolving with the above interventions within the first 7-14 days.

Jason Emer, MD · Answer

You most likely have swelling, which can last 1-2 weeks after your injections. You can apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling and even out the lumps. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. Best, Dr. Emer

Jacquelyn Dosal, MD · Answer

Your photos show that you are swollen from the filler.  Since you also describe a bruise in the area, I believe that the area of concern should diminish.  Give it a full two weeks for everything to settle and then follow up with your injecting provider if you are still concerned.  Best of luck!

Robert Whitfield, MD · Answer

It is not that complicated to inject fillers properly.  All of the product can be massaged at the time of placement so these issues don't develop.  I also inject with cannulas to avoid some other excess swelling and bruising.

72 hours after lip filler 1 ml total - lump or swelling? It was there yesterday but not as prominent. (photos)

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72 hours after lip filler 1 ml total - lump or swelling? It was there yesterday but not as prominent. (photos)

Answers (7)

Answer: Swelling after Restylane Silk

Answer: Swelling after Restylane Silk

Answer: Restylane silk

Answer: Restylane silk

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Recommended reading

Everything you need to know about Restylane Silk

Our mission is to create a world where every investment in modern beauty is Worth It.