I had no or very minor swelling on first 24 hours of Juvederm XC applied to my cheeks. Then 36/48 hours I did swell up?

Is this injection site swelling or is it related to the hydrophobic expansion of the product? My Dr is very conservative, he expects product to expand on cheek area.

Doctor Answers 8

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

I suggest you wait 2-3 weeks if the swelling doesn't subside you can reverse the fillers.  Best, Dr. Emer.

Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 159 reviews

Juvederm swelling after 2 days

It is most likely the hydrophillic effect of the Juvederm. I would not use this a primary cheek filler. Restylane and Lyft as well as Sculptra, Bellafill, and Radiesse are all better. The G prime is much higher with these which means more lifting ability. If it becomes tender, red, or progressive, talk to your provider again. Elevating your head on a couple pillows will help. Arnica will help, ice won't.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

Swelling after juvederm injection

Swelling alone is possible 36/48 hours later due to the properties of the filler. It is hydrophilic(attracts water)and swelling can last up to 2 weeks. However, if there is also and redness or more pain associated with the swelling you should immediately see your physician.

Swelling after juvederm

Juvederm is a hydrophilic product which means it attracts water for up to two weeks after the injection which will cause it to swell. But if it gets painful or more red call the physician that injected it. It is difficult to tell without seeing you or a photograph.

Byron A. Long, MD
Marietta Oculoplastic Surgeon
5.0 out of 5 stars 3 reviews


Thank you for your question. Swelling can occur a couple days after the injection and last up to two weeks. This is partly due to the fact that the product is hydrophilic, so it will hold water which will cause it to expand. If you continue to swell or notice any pain of significant itching then I would return to your injector for evaluation. Otherwise the swelling should resolve in two weeks. 

Lenore Sikorski, MD
Orange County Dermatologist
4.3 out of 5 stars 24 reviews

Juvederm and swelling

It can be a combination of the two but more likely related to the initial injection process. Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Swelling After Juvederm

Thank you for your question.  It is difficult to comment without seeing a photograph.  In general, it is sometimes normal for swelling to peak 2-3 days after Juvederm injection.  Icing can help for up to 48 hours after the injection.  Arnica is also beneficial for minimizing normal postprocedure swelling and bruising.  The product is hydrophilic and may volumize slightly over a two week period.  Please allow 2 weeks for normal postprocedure swelling and bruising to resolve and to see your final result.  Please be sure to see your injector for an in-person reevaluation in order to best address any specific concerns.  Hope this helps and best wishes! 

Swelling after Filler

Hi Thank you for your question.  It can be normal to swell 1-2 days after filler over the next few days the swelling should go down.  If it is getting worse or does not resolve at 2 weeks, I recommend seeing your injector.

Good Luck!

Dr. Shah

Sejal Shah, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

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.