I received Juvederm today in my lips and immediately had a bruise on my right side. Is it just bad bruise or occlusion? (Photo)

Question

Wanted to know if this is just the beginnings of a severe bruise or something worse like a vascular occlusion? Thanks!

Jason Emer, MD · Answer

Swelling and bruising can last 1 to 2 weeks after lip filler injections. To diminish the bruising, I recommend using LightStim LED or, in more significant cases, a vascular laser or IPL treatment. Arnica with Bromelain (""Arnika Forte"") can also be taken to help speed up the healing. 
If you're unhappy with your results, you can also have the filler dissolved with hyaluronidase and try a different filler and/or technique next time. If the bruising doesn't improve - or if you feel any pain - see your physician or an experienced cosmetic dermatologist for an evaluation. Best, Dr. Emer

Anshul Gambhir, MD · Answer

Thank you for your message! Based off of your pictures, it appears you have bruising, which is not uncommon after filler injections, especially lip filler. You can use a cool compress or Arnica for relief. If the area does not improve, gets worse, or becomes incredibly painful I would contact your injector!

Mohammed F. Ahmad, MD · Answer

Hello. Thank you for your questions. Bruises after lip injections are not uncommon. It does not appear that you have an occlusion. From your picture it just looks like a bruise.

Michele S. Green, MD · Answer

It appears from your photo that Juvederm created a bruise to the area and it should resolve in about one week.  Any injection of hyaluronic acid can potentially bruise and it is always more of a chance if you are on blood thinners.  Please consult an expert in Juvederm and lip injections for the best cosmetic results.  Best, Dr. Green

Camille Cash, MD · Answer

Swelling and bruising are common after lip injections and can take up to two weeks to resolve.  You can use intermittent cold compresses to the area. Some patients also find the use of Arnica to be helpful.  It appears you have a bruise which should resolve with time.

Deborah Kessler Hudak, MD, MHA · Answer

From the submitted photo, it appears more as a bruise.  Lips are very vascular, so they bruise easily and can repair quickly.  Nonetheless, it will likely take 1-2 weeks for that to disappear.  Avoid all blood thinners (like non-tylenol pain meds, red wine, garlic, ginger, fish oils, etc.) and take arnica montana to help it to go away faster and not re-bleed.

I received Juvederm today in my lips and immediately had a bruise on my right side. Is it just bad bruise or occlusion? (Photo)

Answers (6)

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