Is It Normal To Have Massive Swelling And Bruising After Juvederm Ultra XC Injected into Lips? (photo)

No it is not "Normal" to have Massive swelling after Dermal fillers but we always expect some swelling after trauma to the lips.  Bruising can happen as well but there is no way to predict who is going to bruise unless you were on blood thinners prior to the injections. You need to follow up with your doctor, of course. But rest assured It will more than likely resolve in a few days whether you do anything else or not.      

Swelling is totally normal, but you clearly have more swelling than normal. It is unlikely to be an allergic reaction as this is very very rare. You should call your plastic surgeon - even if it is Easter! You may benefit from a short course of steroids to decrease the swelling.

We treat many patients daily with Juvederm in our Orange County office, including many lips.  We frequently see swelling but it is not typical to swell as much as you are showing in your photos.  Some people are just "swellers", whether its laser, fillers or surgery, they just swell a lot.  As a dermatologist, I am very familiar with contact dermatitis from products applied to the skin.  That would be the most likely other cause.  So stop using the topical arnica product you are applying.  The other possible cause of a contact dermatitis could be a topical numbing product your doctor may have applied before your injection.  If you were allergic to either of these topical products you could experience significant swelling.  Call your doctor, he/she can probably prescribe an oral steroid medication for a few days to take down the swelling quickly.