Why do I have immediate swelling around upper lip epidermis 24 hour post Restylane injection?

I had restylane done yesterday on my upper lip only that was between .3-.5 cc and now it is very swollen and feels hard. It felt fine immediately after the procedure and looked ok, but as of this morning It hurts to move my lips or smile. When I smile also one side looks uneven. I look like donald duck! I have been icing the area and started taking arnica, but not sure if it has been helping. Will this subside or should I be concerned for allergic rxns? Please help!

Doctor Answers 7

Swelling of lip after restylane injection

Lips are very sensitive to injections and it is common to be worse the next day because you were lying flat all night and did not ice it for several hours. But do not worry. Continue icing and it will settle down after 36-48 hours and you will love it.


Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Swelling in the lip

It sounds like you are having post injection swelling.  This is very common, and will subside on its own over a number of days.  I would recommend to go back to the doctor that injected you for an evaluation to be sure there is nothing else going on.

M. David Cole, MD, FAAD
Newport Beach Dermatologist
5.0 out of 5 stars 3 reviews

Swelling/Bruising/Lumpiness (early) from Fillers

I always tell my patients to not love their filler injections for 2 weeks. Swelling is very common and sometimes immediate. It can last 3-7 days and a good idea is to use cold compresses. Cold compresses may be used immediately after treatment to reduce swelling only if needed. This may be applied for 3 minutes, 3 times per day, for up to 3 days. This is best done with a bag of peas in a zip lock bag. Only apply light pressure to the area but gentle massage might be necessary if the bump is from the filler material itself. Get Arnica gel if you can find some and apply a few times a day as well to help treat any swelling. Avoid any blood thinners. Bruising can also last 1-2 weeks. I don't recommend hyaluronidase this early and wait a few weeks until the swelling has resolved. If it is persistent or you are worried, set up a follow up appointment with your dermatologist.

Alim R. Devani, MD, FRCPC
Calgary Dermatologist
5.0 out of 5 stars 10 reviews

Lips and restylane

It is not at all unusual to have swelling in the lips after Restylane and it has only been one day. However, you should not look like Donald Duck. the material may have been misplaced. wait for the swelling to recede and then recheck with the doctor. be sure you are seeing a board certified dermatologist or plastic surgeon

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 6 reviews

Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

I suggest reversing with hyaluronidase if you are unhappy after 2-3 weeks. It takes a few weeks for swelling to resolve, have some patience.   Bruising also takes time to go down so consider cannula injection next treatment and use Arnika Forte for now.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 167 reviews

Lip Injections and Swelling

Without a photo it is difficult to see if this is normal swelling of the lips after injections or too much product. You need to wait a week and see how it resolves.  If you are very anxious please return to your treating physician for examination and keep us posted.  Best, Dr. Green

Swelling one day following injection of Restylane

Thank you for sharing your question. It sounds like you have normal swelling, but if there is any doubt, see your doctor. It would help if you post photos of your lips.
Good luck,

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.