Thank you for sharing your photos and your concerns. Typically bruising is deep purple, blue, green, or yellow. Sometimes bruising from higher up on the cutaneous lip (skin portion of lip) can cause swelling that will lead to this type of distortion. Occasionally, deep bruising in the mucosal lip (where lipstick is applied) can also cause this distortion. Another possiblity is simple edema since you received Juvederm Ultra or Ultra Plus only 5 days ago. Finally, there is a chance this is superficially placed filler. The good news is if this is edema, it will resolve in 2-4 weeks. If this is superficially placed filler, some of it can be dissolved with an enzyme called hyaluronidase. Return to your board certified dermatologist or plastic surgeon for in person evaluation and management. Best of luck,Suneel Chilukuri, M.D.Houston, Texas