Tissue necrosis after Restylane in lips. Is this normal bruising and swelling? (Photo)

Question

I got restalyn for the first time yesterday and totally forgot and didn’t realize I wasn’t suppose to take ibuprofen. I took 600mg that Morning and had my appointment later that day. I know stupid. I bruised and swelled pretty immediately on my left side of my upper lip. I love my results I just want to make sure that it’s not tissue necrosis. Or anything more serious. I’ve also had a previous injury about 4-5 years ago where there bruising and swelling occurred. Maybe that’s why this had happened ?

Aldo Guerra, MD · Answer

I appreciate your concern and this does not look like tissue loss or necrosis. It looks like a bruise and likely your risks of bruising were elevated because you took ibuprofen. Unfortunately, this happens all the time as people tend to forget this important step for a quick recovery. Talk to your injector if your symptoms persist.Good luck. Dr. ALDO

Alexander Rivkin, MD · Answer

Hello and thank you for your question. It looks like what you have is just a bruise. Bruising and swelling are common minor adverse events that can occur after the injection of dermal fillers (or anytime a needle is placed into the skin). Fortunately, they are temporary and there are ways to help minimize the effects. Pre-procedure, I recommend my patients try to avoid blood thinners (aspirin, ibuprofen, fish oil, alcohol) for 5-7 days prior. Additionally, Arnica (a homeopathic medication used to help alleviate bruising, swelling, and inflammation) can be take a 2-3 days prior to your injections. During and immediately post injection, it is important to apply ice to the area being treated. Post injections, we apply a topical Arnica gel and provide Arnical tablets to our patients, which has been found to significantly prevent and reduce bruising and swelling. For our areas on the face besides the lips, we can use the V beam laser to also help prevent and treat the bruising. Your bruise should go away within a few days. Best of luck.

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. Bruising and swelling are common side effects, especially after taking Ibuprofen. The symptoms should subside given time.

Jonathan Kulbersh, MD · Answer

Yes, this bruising can be typical after lip filler. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Jason Emer, MD · Answer

bruising can be treated with vascular lasers but if you are concerned see your physician. swelling takes 2 weeks to go away.  Best, Dr. Emer.

Tissue necrosis after Restylane in lips. Is this normal bruising and swelling? (Photo)

Answers (9)

Answer: Bruising after Lip Fillers

Answer: Bruising after Lip Fillers

Answer: Lip Swelling and Lumps After Injections of Volbella, Voluma, Restylane, Juvederm, Silk -- Reverse With Hyaluronidase

Answer: Lip Swelling and Lumps After Injections of Volbella, Voluma, Restylane, Juvederm, Silk -- Reverse With Hyaluronidase

Recommended reading

Everything you need to know about Restylane

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

Tissue necrosis after Restylane in lips. Is this normal bruising and swelling? (Photo)

Answers (9)

Answer: Bruising after Lip Fillers

Answer: Bruising after Lip Fillers

Answer: Lip Swelling and Lumps After Injections of Volbella, Voluma, Restylane, Juvederm, Silk -- Reverse With Hyaluronidase

Answer: Lip Swelling and Lumps After Injections of Volbella, Voluma, Restylane, Juvederm, Silk -- Reverse With Hyaluronidase

Browse related questions

Recommended reading

Everything you need to know about Restylane

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