I am sorry for your problem with the filler. You should return to your treating physician for evaluation since you could be having a reaction to the filler. Belotero is generally not the best choice for the lips. Please keep us posted. Best, Dr. Green
Boletero and lips....bad combination
So sorry to hear that you too are a victim of off label use of Boletero in the lips. I have had several of my staff try Boletero in the lips by my nurse practitioner. Nearly all had intermittent lip swelling so far up to 10 weeks after the injections. It comes on suddenly and can swell up half or an entire lip over a 6-8 hour period and lasts for one to two days. I cannot get any answers from the sales representative, but suspect they have no definitive explanation. It is not a salt intake issue or an issue with the product pushing on vessels as the amount injected with one employee was minute. I would go back to juvederm or restylane. I have no ideas as to why it has happened but suspect there is some allergic reaction to one of the byproducts of Boletero breakdown. Since other HA products do not have this issue, I presume it has to do with some additive or manufacturing process that makes it somehow distinct in some way. For now....Boletero not in the lips!! Still use in fine lines superficially where other HA products are less desirable. Hope this helped!
Swelling (late) from Fillers
There are a few possibilities but ask your injector to
consider the following: Persitent brusing and swelling from the injections
itself, persistent filler material, inflammatory nodules, granulomas and
possible infection as a cause. Need an opinion from an expert injector. I would
suggest to them consider injecting hyaluronidase or steroids into the area or
possible surgical consultation if it doesn't resolve after some time. Might be
worth starting an antibiotic to cover your basis but difficult to advice
without seeing the patient in person and knowing what was injected. If it is
persistent or you are worried, set up a follow up appointment with your
Not likely that it was a reaction to the filler because it was localized. Generalized swelling would be related to a reaction.