Oh my god! Is intense pain normal after lip fillers? (Photos)

Question

I got 1 cc juvederm to my lips this morninv. I had previously gotten resytane... juvederm hurt so bad while injecting. Worse is it swelled up so bad! My face is unrecognizable. I also couldnt sleep because of the soreness. Is this normal?

Daniel Barrett, MD · Answer

Dear germangirl1990,Juvederm has significant swelling post injection. I would follow up with you plastic surgeon but typically I tell all my patients to wait a full two weeks.  Generally at 2 weeks they are happy and glad they didn't dissolve. In case you have severe discomfort or pain, you should consult your plastic surgeon.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Sach Mohan, MBBS · Answer

I am sorry to hear that you are in discomfort. It is normal to have a little pain, swelling and bruising for some people. However It is unusual to have intense pain and I would recommend that you follow up with your treatment provider to check that there are no complications. A face to face assessment is the best way to rule this out. Cold compress will help with the swelling and arnica gel can help with the bruising. Everything should be fully settled at two weeks. Wishing you all the best and hope that the pain settles for you soon.

Jason Emer, MD · Answer

Yes, there can be some pain and swelling after lip injections with Juvederm. Swelling can last 1-2 weeks. Icing may help and you can also apply firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling. 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

Stephen Giordano, DO · Answer

Hi, 
Intense pain is not normal at all after lip fillers. It can hurt some while getting it injected, and this depends on the experience of the injector as well as the technique used.  Swelling can persist for 1 to 3 days after injection, more so with Restylane than Juvederm products.  If you ice it frequently, the swelling should be kept in check.  The intense pain should not be there.  Some soreness maybe, but not intense pain that keeps you awake.  I would follow up with your provider to ensure you don't have a vascular occlusion that needs treated.  This is something that needs addressed quickly if this is the case.  Try massaging the lips gently, and using a warm compress until you see your provider. Best of luck, Dr. Giordano

Mabrie Facial Institute | San Francisco · Answer

Hi germangirl1990, I'm sorry to hear you're having pain post injection. As lips are one of the most sensitive areas of the body it is normal to have tenderness and swelling post injection. However, extreme pain can be a warning sign. When injecting the lips it is possible to inject into or around an artery causing a vascular occlusion, which would cause intense pain. If an occlusion were present you would notice a change in the color of the skin around your lips, giving it a greyish blue or dusky appearance. Using a cannula with minimal entry points helps to decrease this risk. I suggest following up with your injector if this pain does not subside soon or you notice a color change.

Jenny Weyler, MD · Answer

Lips are definitely the most sensitive area to inject, and some people react very strongly to the irritation of the product and get dramatic swelling. So, the answer to your question is yes, it is normal for some people. There are ways to reduce this risk, and my particular recommendations are to use Restylane Refyne or Defyne, which cause very little swelling, and to use cannulas, which reduce bruising. In the meantime, hang in there! It will get better quickly. Ibuprofen and ice are your friends at this time! Good luck, and I hope you love your lip results.

Kambiz Golchin, MBBS, FRCS (Eng), FRCS(ORL-HNS) · Answer

Dear Germangirl1990,
Thank you for your question! I'm sorry that you are having some concerns about your treatment. Swelling, bruising and pain can be common after treatment. You may be too late for ice to help but eating fresh pineapple is good for bruising and Arnica is also helpful for reducing swelling & bruising also. I would suggest however if the severe pain and discomfort continues contact your injector to err on the side of caution. It can take up to 2 weeks for swelling and bruising to subside.
Hope this helps!
Best wishes,
Mr Golchin

Jean M. Casello, MD · Answer

It is not unusual to get swelling and some tenderness after lip injections. Most of the time this is mild and slightly uncomfortable. This should subside after about 2 weeks.  However if your pain and swelling is severe you should call your provider who can advise you as to the best way to treat this.

Jennifer Guthrie, MD · Answer

Pain is a normal factor in lip augmentations, it is something to be expected. Bruising and swelling are usually worse with Juvederm products because they have pre-mixed lidocaine in the syringes. While it may help a bit with the actual injections, it causes allot more swelling immediately upon use, and creates a massive inflamation response in some patients resulting in bruises and unnecessary swelling. The swelling will push on nerve endings, which will cause the pain you are feeling. Wait a couple of weeks, apply arnica gel, and then return to your practitioner. Cheers

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