Lips Are Too Big After Restylane - Can I Get Hyaluronidase?

First, give yourself time to allow swelling to resolve. Most swelling after lip enhancement goes down in a couple days. As others have already mentioned, waiting a week is appropriate.

Lip augmentation with hyaluronic acid injectable fillers such has Restylane or Juvederm is common today. Fewer cosmetic specialists are using collagen for lip enhancement. The lip naturally swells & bruises from the injection. Most of the swelling, which contributes to the increased projection and fullness, goes down within a day or so, but sometimes longer.

Lip exercises and ice packs help reduce the swelling. After several days, if you are still unhappy with the lip size, you have 2 options after hyaluronic acid injection. Either wait it out, as your body naturally absorbs and breaks down the injectable filler over a few months. Another option to consider is using hyaluronidase, a material which accelerates the breakdown of hyaluronic acid. The last option is to have your plastic surgeon make a very small skin incision and squeeze out hyaluronic acid.

At two days after your Restylane injections, you are most likely swollen, which is the reason your lips look so big. Swelling following dermal fillers for lip augmentation is extremely common, but this is not your final result. The swelling should reduce on its own within a week at the latest, after which you can see the final result. If you still feel that your lips are too big after the swelling has reduced, hyaluronidase could certainly be an option to safely dissolve the filler and allow your lips to return to their natural shape more quickly.

You should wait a couple of weeks for swelling to subside before assessing your results. The swelling may be contributing to the current size of your lips.Bumps may be excess product. Hyaluronidase injections can break up hyaluronic acid based filler so that it gets absorbed by your body faster, reversing your results. If it's another type of filler, you'll have to see your PS for an assessment as surgery may be necessary.

I have a large series of patients who have undergone lip reduction or lip revision after injection of fillers ranging from juvederm to silicone. Raffy Karamanoukian Los Angeles

You still have swelling from the needle sticks, and the tiny amounts of bleeding that always occur with these treatments. In addition, the Restylane absorbs fluid, and can provide more fullness than desired, especially for the first week or so. Like other answers here, I would definitely wait a week or so before asking for hyaluronidase (Wydase) injections to reabsorb some of the Restylane. If indeed you are larger than you wish, this works nicely. (Wydase is an enzyme that helps dissolve unwanted hyaluronic acid--Restylane).

As with most things in cosmetic intervention, it is much easier and better to add more than to take away. The same applies to overaggressive hyaluronidase reduction of your Restylane. I have used Wydase for over 20 years and have seen no side effects to date.

Hyaluronidase will dissolve Restylane. But at two days after injection, you are probably at the peak of the swelling and so do not have a true view of how things will look. I would wait several more days before removing the product, and then, rest assured that if you still do not like the look, it is possible to reverse the filler.

Hyaluronidase is okay to use after getting Restylane injections in your lips. I would first suggest waiting 1 to 2 weeks after injection and taking a antihistamine to see if the swelling is reduced. You lips will swell after the injection and you can use ice to reduce the swelling after the procedure.

A number of things can affect swelling after Restylane injections to the lips, such as the amount, degree of bruising, where it was placed, and so forth. It is also not uncommon to feel that they are too big right afterwards, but just right when the swelling goes down. The thing with hyaluronidase is that it is usually "all or none" so you can't "fine tune" the results that way. There are some tricks and techniques to making lips look natural with HA products so it is worth spending some time to find the right injector for what you want.

Hyaluronidase is fairly straight forward in the hands of experienced injector; however, there have been reports of anaphylactic reaction. Therefore, you should always perform ice compress, oral benadryl prior to prior to hyaluronidase for Restylane or Juvederm swelling. It's critical for you and your injector to avoid excessive massaging after Restylane or Juvderm injection as doing so will trigger if not exacerbate post-treatment swelling which typically resolves in few days.

If this is the first time you have had Restylane, do not panic yet. Swelling from lip injections can last up to a week or so and during this period it would not be advisable to use Hyaluronidase. Once you've waited a week or so, visit your injector if you still have concerns. If you do not like the look after a week then Hyaluronidase may be a good option for you.