Bruising increasing/spreading after Juvederm in lips done 24 hours ago. (Photo)

It is common to have some lip swelling after filler injections and the degree of swelling depends on each patient, the product used and the injection technique. Similar is true for the bruising.I would suggest that you contact the doctor that did the injections and have your lips looked at.I hope that helps and best regards, Dr. Sapijaszko

The best person to help you is your treating physician. I suggest you see them in person or see another board certified surgeon or physician in your area. An in-person evaluation is needed to adequately evaluate your situation and options.The foregoing information provided is not intended nor implied to be a substitute for professional medical advice, it is provided for educational purposes only.You assume full responsibility for how you choose to use this information.Always seek the advice of your physician or other qualified healthcare provider before starting any new treatment or discontinuing an existing treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

Dear MakeupGirlie25, Swelling after lip injections is very common. Swelling after any procedure tends to peak around day 2 or 3, and then get better from here. The lumps that you feel are also common, and tend to soften over the next week or so. I would return to the surgeon who injecteed it if you continue to have concerns. Good luck!

While dermal fillers in the lips are exceeding safe when
injected by properly trained physicians, there are always possible side
effects. Some possible side effects of are:1) Bruise2) Lump or bump3) Over filling4) Injury to surrounding facial structures (eye
is injecting near it)5) Asymmetries 6) Vascular compromise7) Infection8) Inflammatory reaction

It can
take up to 2 weeks for swelling a bruising to resolve. If you can
appreciate a gradual improvement, then I would be patient. It will slowly
get better. If it is getting worse or not improving, then I would have it
seen by your injector. Regardless, you should have an examination 2 weeks
after your injections.

Anytime you
have an injection, there is a risk of a bruise. I inject fillers with a blunt tipped microcannula instead of a needle to decrease the risk of a
bruise. If you develop a bruise I would:

1) Take the supplement Arnica
Montana
2) Cold compress for 2 days
3) Switch to warm compress after 2 days.
The warm compressed with help the bruise resolve.I hope this helps. In looking at your pictures, I believe you are normal swelling and bruising after lip injections with a needle.  I would be patient and communicate your concerns with your injector.I hope this helps. 

Thank you for your question.It is common to have swelling after a Juvederm injection. The first few days are typically the worst. Try applying some ice packs to the area,If you continue to have increased swelling and you are concerned, contact your physician. Hope this helps

You seem to be having a normal reaction to fillers in the lips.  Fish oil is definitely a potent blood thinner that can make the swelling worse. For some patients, I will prescribe a short course of steroids to help the edema to resolve more quickly.  Either way, it should be gone in a few days and you will like your results!

You have a wonderful result ! It is fortuitous that your lips did not bruise more than they did considering you were on Fish Oils ! In our office I advise our patients to refrain from NSAID's, Fish Oils, Omega III's for two weeks prior to any injectable filler procedure, and this coupled with meticulous, slow, gentle technique using the tiniest needles we import from Germany, ensures that our patients hardly ever bruise ! We also go slowly for another reason too : Our patients can thus be involved in the process and together we decide in the mirror one step at a time, exactly where we would like to place the filler, in what location in different parts of the lip, since each patient has a unique shape that they are looking for and that would suit them and some patients want conservative results and others want juicier lips. Every one is different in their needs and by going slowly we can achieve what they are looking for and also avoid bruising.  Your lips have turned out beautifully even though it is hard for you to tell right now because they are quite enlarged from the swelling /bruising. Some suggestions for you going forwards :  I would refrain from the afore mentioned supplements for about 10 days until you are out of the woods. Sleep elevated for a few more days and Arnica Montana might help resolve your mild bruising and swelling  more quickly. Be patient and the swelling will go down more and more each day. They will look great very shortly just like they were meant to look- be patient ! Enjoy your beautiful lips !Dr. Anna PetropoulosBoston's North Shore

There are several products that cause bruising like fish oils, aspirin, Vitamin E and I would try to avoid them before the injections.  The bruising and swelling will go away with time.  If you are not happy after  two weeks you should return to your treating physician.

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.

Thank you for sharing your question and photos or your recent juvederm treatment to the lips.  Bruising and swelling after lip injections is not uncommon.  In our office we have a treatment plan we like our patients to follow that includes stopping all asprin, fish oil, red wine and other items that could possibly thin the blood.  However, even with these measures some swelling occurs.  Best to discuss directly with your board certified plastic surgeon or injector. I hope this is helpful.Brian S. Coan, MD, FACS