My lips are bruised and swollen 4 days after juvederm. What should I do? (Photo)

My first thought is were you on any blood thinning medications or supplements that could have lead to the increased bruising?  I agree that your top lip looks too full/duck-like but maybe that is due to unresolved swelling/bruising... give it a few more days to see if it improves. We do use a pulse-dye laser to clear bruises much faster.

Thank you for the photo.  Sometimes there may be some contour irregularities after injection.  This can be due to the product placement, bruising, or other issues.  You are very early in your post procedure course.  In our office, we usually wait 10 to 14 days before seeing a patient back as we know there will be swelling.  Swelling can be present for a while, even longer if there was any bruising.  Often contour irregularities can be smoothed out.  Please let your well trained, experienced injector know about your concerns. 

I suggest you wait for two weeks, as this will allow enough time to pass for swelling and bruising to resolve. In the meantime, you may want to ice the area for a few minutes hourly and avoid touching the area. Also, avoid any medications/supplements that would encourage bruising, such as Vitamin E, St. John's Wort and aspirin.