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White, light bruises after Juvéderm in lips. Is this normal? (Photo)

PinkyTDec 29, 2015
Noticing a light hue to these bruises developing on lower lip 2-4 hours after injection with Juvéderm Plus. Is this just a normal start to significant bruising (I did have to continue an occasional NSAID regimen before injection for a health issue) or does it indicate the dreaded necrosis. Few sites discuss how long after injection and what exactly "whitish" appearance really looks like.

Answers (5)

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Dr. John J. Martin, Jr., MD
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Dr. John J. Martin, Jr., MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
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Answered on Jul 6, 2021
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Dr. Joseph J. Castellano, MD
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Dr. Joseph J. Castellano, MD
Board Certified General Surgeon
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Answered on Feb 3, 2016
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Dr. Darryl J. Blinski, MD
Dr. Darryl J. Blinski, MD
Board Certified Plastic Surgeon
Answered on Jan 3, 2016
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Dr. Michele S. Green, MD
Dr. Michele S. Green, MD
Board Certified Dermatologist
Answered on Nov 30, 2016
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Dr. Anita Saluja, MD
Dr. Anita Saluja, MD
Board Certified Dermatologist
Answered on Jan 2, 2016
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Daniel Levy, MD

Juvederm is made of non animal derived hyaluronic acid which is completely biocompatible.  As such, it should not weaken or stimulate your immune system.  The only cases where an immune reaction occurs is when the product somehow gets contaminated (makeup, skin not cleansed prior to...

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Jason Emer, MD

Often this area requires a more robust filler like Radiesse or bellafill or even fat injections.  HA fillers like juvederm sometimes have an afinity to dissolve in these areas, you may need to try a more particulate filler like lyft.  I suggest seeing an expert.  Best, Dr. Emer.

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Elliot M. Heller, MD

You should start out with 1cc of filler and go from there. You do not want to overdo too much filler in the lips. It also depends on the look you are going for too. You can always add more filler to the lips if needed. Just remember if you are going to do your lips and you do not want to bruise...

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M. Zakir Sabry, MD

Hello. As you may be aware, HA fillers such as Juvedrm do not induce regeneration of tissue, rather act as just fillers until absorbed by one's own body. And, it's duration may be affected by a variety of factors i.e.  Muscle activity, blood supply, tension etc. Local  pressure may...

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John J. Martin, Jr., MD

You should wait a bit longer since you are still inflamed and even bruised.  So it may improve.  If not you can have some hyaluronidase injected to dissolve the Juvederm.  In the cheek it is best to put the filler in right on top of the bone to give structure and fullness...

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Michael A. Zadeh, MD, FACS

You are absolutely right that there is a discrepancy between the volume of your central lip and the corners. However, after 3 days you still have some swelling present which may make things look worse than they are. If after 2 weeks there is still a difference then you can have a little more...

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