Pain, Hardness, Difficulty Smiling After Restylane Lip Injections

Restylane has lidocaine in it that can alleviate pain for a couple of hours. After it wears off, the treated area can definitely feel sore. The tenderness and firmness usually improve over the next few days as the swelling decreases. You can apply a cold pack to your lips to help alleviate the tenderness, but do not place it directly on your skin. Head elevation can also help reduce swelling. Give it some time and things will likely get better. If there is anything that concerns you, definitely contact your injector.

Thank you for your question. It is very common for the lips to look
over corrected or fake the next day. This is due to all the swelling
that ensues. I often tell my patients that this
is the "oh my gosh" day. It can be 'oh my gosh' my lips are so
swollen! It could also be 'oh my gosh' I love my lips even more than
yesterday. Either way, the swelling may last a few days with every day
showing a decrease
in swelling. The more you ice the first day or two, the less swelling
you will have. I would wait a few days to a week and then return to
your injector if you still have concerns after that. If you like the
look of the lips at some point during the swelling reduction, then take a
picture. This way you know what volume you like in the lips for the
future.

Hi Chloe.  Injecting Restylane into the lips can be one of the most painful locations.  It's also a location where dramatic swelling (and therefore tightness) can occur.  It can take up to several days for the swelling to go down.  If it does not during this time period, be sure to call your injector to schedule a checkup.

Based on the picture and the description, we do not feel that your situation is out of the ordinary.