Juvederm filler hit blood vessel left swollen black and blue upper lip. Should I be worried? (Photo)

Bruising and swelling are common side effects of injections. It appears as though you have a bruise that will heal - can take up to 2 weeks. That being said, if you're concerned send a photo to the injector and/ or schedule a follow up appointment to be assessed. Stop taking ibuprofen. Ibuprofen and aspirin should not be taken for 7 days before and after treatment. It may help to apply cold compresses to the area 10 mins on and 10 mins off. Good Luck!

It is not uncommon to have swelling and bruising following ANY filler
injection. Bruising after cosmetic injections can be related to
medications you are taking in the days and weeks leading up to the
injection (fish oil, Vitamin E, aspirin, motrin, aleve, ibufrofen,
etc...), your anatomy, and/ or the injection technique. You are doing the right thing by taking Arnica Montana but you need to stop taking the ibuprofen.  Ibuprofen, aspirin, and other NSAIDs can actually cause the offending vessel to ooze more and prolong your bruise.  It's also great that you know about Bromelain, but it is most concentrated in the pineapple core.  So, pineapple juice may be a waste of calories without the same benefit as juicing a fresh pineapple core or buying pineapple tablets.  Bromelain is also found in papayas.  I agree with waiting about 3-4 weeks before you go back in for the remainder of your injection. I wish you the best!

Hi Pink,You should immediately call your injecting physician for evaluation.  Good luck and be well.Michael Persky, MDEncino,CA

Swelling and bruising are risks with any injection procedure. The lips are more prone to this and depending on the injection technique used the amount of bruising and swelling can vary. No two injection procedures are the same, so it is possible to bruise one time and not the other. Especially if you are seeing a different injector each time. For some people Arnica works and for some it doesn't. This usually will get better within a week or so. I would stop taking the Ibuprofen as it can worsen the bruising if it hasn't already. More importantly, it looks like your top lip is far more swollen than the bottom. As the swelling goes down you may notice that the top has been overcorrected and is larger than the bottom lip. This should be corrected by your injector. Make sure you see him/her in follow up. Hope this helps! 

Thank you for your question. It is not uncommon to experience bruising after lip augmentation, however this should resolve in the next 2 weeks. I always advise my patients to ice the treated area or apply arnica to help resolve bruising and swelling in the lips. Please consult your injector if this persists after two weeks. All the best!
 

This does not appear to be vascular occlusion. The correction looks a little odd to me with the upper lip being bigger than the lower even accounting for the bruising. The lower lip should be bigger for normal appearance. I much prefer blunt cannulas for lip enhancement because of less risk, less bruising, and less swelling. Ibuprofen leads to more bruising, so stop that. 

Lip augmentation can lead to issues similar to yours if performed by an inexperienced or less than expert injector. The bruising is consistent with the injector being careless and hitting a blood vessel. Consider a more experienced physician injector for your next treatment.  

First of all stop the ibuprofen as this can lead to further bruising. I have my patients refrain from taking any medications that may thin the blood or cause bleeding and bruising prior to injections. The bruising should go down however it is an abnormal amount of bruising and swelling for Juvederm injections so speak with your injecting surgeon regarding medications, vitamins, herbs, etc that you may be on before proceeding to finish your treatment. Also make sure that your injecting surgeon has a lot of experience in this field most patients return to work the day of injections or the next day. Best regards, Michael V. Elam, M.D.