I've Got Muscle Spasms in my Upper Lip After Juvederm. Is This Dangerous?

Hello,

I would not be overly concerned about the twitching--it is likely just from some irritation after you injection, and will resolve with a bit of time. 

In the future, make sure to select the best possible surgeon for your injections. What seems like a simple thing, is actually quite detailed and you should put yourself in the best possible hands when dealing with your face. It's definitely worth it!

Best wishes,

-Dr. Asaria

The side effects you describe from your injection should subside with time.  Often, due to swelling and/or mild irritation from the product, nerves that supply the skin and the surrounding structures (like muscles) can become irritated and swollen, causing them to misbehave.  One of these very common occurrences is the spasm or twitching of a muscle. Applying ice to the area for approximately 48 hours after the procedure can reduce swelling and thus decrease the amount of irritation the nerve experiences. 

If your symptoms persist, be sure to follow up with your injector.  Seeking evaluation by experienced clinicians who have a true appreciation of facial anatomy and knowledge regarding side effects and treatment options are always helpful and safe. 

The bruise is common and it is likely that the nerve was irritated from the injection. It should subside in a week or two. If not, or if there area any additional issues, I would highly recommend a second opinion consult. It seems as if the location you used may not be the best fit. Best of luck.

I would wait a week or two and see if the irritation that may be causing the spasm subsides, unless of course there is swelling, pain, redness, etc. In that case, I would see a trusted Dr sooner. I can understand your concern and wish you the best of luck.

Thank you for asking this question. After answering your basic question, I will give you my take on a large percentage of Medispas. More than likely, the issues you are experiencing are related to swelling and should resolve. Apply ice to the area for 15 minutes at a time and avoid aspirin, ibuprofen, aleve, etc. 

Many Medispas are owned, and operated by Dermatologists, Facial Plastic Surgeons, or Plastic Surgeons. When choosing a Medispa, find out who the Medical Director is and make sure he/she is board certified by one of the core specialties mentioned above. As you are probably aware, facial aesthetics, injectables, facial anatomy, and facial surgery are not a part of Podiatric Medicine, nor are they a part of Obstetrics, or Internal Medicine. I encourage patients to be smart shoppers for their hard earned dollars. Medical economics are causing a large shift in competition for aesthetic procedures. You owe it to yourself to see someone that is actually trained, as part of their specialty, on procedures they are performing on you.