How much bruising is normal with Restylane? (photo)

I wanted 1ml Restylane Silk in my lips but the Dr said he prefers 1ml Restylane for lips & 1ml Silk for lip borders. I asked to just do 1ml in my lips & he said ok but he'd use Restylane, not Silk. I said ok, even though his website shows Silk for lips. My bottom lip swelled right away & that night got very bruised. Then my top lip bruised. I didn't know bruising on my face could be a side effect. Should I just keep icing? Plus, my lips still look the same size they were before the Restylane.

Doctor Answers 5

Bruising following lip fillers

Thank you for sharing your question. Substantial bruising following lip augmentation is not common, but when it occurs it will quickly resolve. Cold compresses and Arnica can hasten resolution. Discontinuing use of blood thinners for a week prior to treatments is beneficial.  Good luck,

New York Oculoplastic Surgeon
5.0 out of 5 stars 140 reviews

Bruising after lip injections

Bruising can occur with any cosmetic injectables such as Botox or fillers. This can be minimized with careful technique. Icing also helps. I would continue to ice over the next few days, and your bruising should resolve with time. Revisit your doctor if you feel you lip size remains the same. You may need more fuller to get the size you want. I wish you the best.

Arnold Almonte, DO
Roseville Plastic Surgeon
4.9 out of 5 stars 31 reviews

Bruising after restylane

Bruising can happen after any injections, especially right above and below lip. It is much less common within the lip. I agree with choice of Restylane and not silk for this area. Silk is great in small wrinkles but would not last long enough in lips t make you happy. the bruising will go away. Warm compresses help. Give this a chance to calm down and then evaluate

Jo Herzog, MD
Birmingham Dermatologist
5.0 out of 5 stars 18 reviews


Unfortunately bruising is not uncommon after filler injection.  All injections involve a needle.  When injecting in the lip area you cannot see the small blood vessels under the skin. If a tiny blood vessel gets poked by the needle a little blood will leak out. A bruise is blood that leaked out under the skin.Icing helps immediately after injection and the day after.  After the first day tapping on the bruised area to get the underlying blood/bruise to spread out is helpful.  Best to get any kind of injection 2 weeks before any social events just in case you get bruising.   2 weeks before getting injections stop using any aspirin/ibuprofen type products to decrease bruising. If you had filler placed you will see changes after the bruising resolves.  We try very hard to prevent any bruising with a variety of techniques but it still happens.

George Orloff, MD, FACS
Burbank Plastic Surgeon
4.1 out of 5 stars 11 reviews

Restylane and bruisinG

Anytime there are injections done around the lip area you are going to get some bruising. there is more if you took aspirin or NSAIDS or vitamin E before.  Icing will help. restylane can be used in the lips and his preference probably just his experience

Melvin Elson, MD
Nashville Dermatologist
5.0 out of 5 stars 4 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.