Is this an allergic reaction to 1 vial of Restalyn? I had put in my lips & mouth corners yesterday. Will prednisone help?(photo)

Question

Ive been to this injector before & had great results with Juvaderm & Voluma with no problems and minimal swelling & bruising. The pain is constant, throbbing & sharp. I have swelling inside my mouth around my teeth too! I've taken tylenol & arnica montana oral & topical. I used that for my last filler procedure also. I am using gel ice packs as directed. I'm trying to desperately reduce the swelling. I have a family reunion in 1 week. And I have work in less than 24 hours.

Jason Emer, MD · Answer

It is common to get swelling after fillers into the lips.  It is not normal to have irregularities or severe swelling.  If you are unhappy you should speak to your physician and have the area injected with hyaluronidase, an enzyme that reverses the hyaluronic acid filler.  For the next injections, consider Restylane Silk with cannula injection, this technique will limit the pain, swelling or bruising after the filler placement.  It often takes up to two weeks for swelling to subside on its own.  Find an expert in filler injections for your future treatments.  Best, Dr. Emer.

James R. Gordon, MD, FACS, FAAO · Answer

Yes, Prednisone and cold compresses might help with your swelling, but the definitive treatment is injection with hyaluronidase in order to dissolve the Restylane. Since you had more success with Juvederm in the past, you probably should use it again instead of Restylane.

Arnold Almonte, DO · Answer

See your doctor as soon as possible for evaluation. From the photos, it may be a viral outbreak (cold sore) which is typically a rare complication seen with laser treatment. A physical exam is important at this time. Good luck.

Michael H. Swann, MD · Answer

mygoodlife, This is not just swelling, this is angioedema and has been reported following hyaluronic acid lip injections. Angioedema can be serious and treatment options include antihistamines, but corticosteroids and ice packs can help.  I would recommend seeing your dermatologist or medical provider who is familiar with angioedema.  Angioedema can have many causes, including latex gloves.

Melvin Elson, MD · Answer

Restylane reactions are very rare--I reported one a number of years ago. the swelling you have is not allergic in nature and should subside over the next week

Is this an allergic reaction to 1 vial of Restalyn? I had put in my lips & mouth corners yesterday. Will prednisone help?(photo)

Answers (7)

Answer: This is angioedema

Answer: This is angioedema

Answer: Reaction to Restylane

Answer: Reaction to Restylane

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Is this an allergic reaction to 1 vial of Restalyn? I had put in my lips & mouth corners yesterday. Will prednisone help?(photo)

Answers (7)

Answer: This is angioedema

Answer: This is angioedema

Answer: Reaction to Restylane

Answer: Reaction to Restylane

Browse related questions

Recommended reading

Everything you need to know about Restylane

Our mission is to create a world where every investment in modern beauty is Worth It.