I'm 2 days post Botox around my lips for small vertical lines. Should I still be experiencing swollen lips?

Question

I'm wondering how long the swelling will last? I did not have any filler injected for fuller lips. I was prescribed Prednisone for the swelling.

Jerome Edelstein, MD · Answer

Typically, there may be some swelling for a week or two after treatment. If you still have swelling two weeks after your injection, follow up with your injector.

Sonia Badreshia-Bansal, MD · Answer

Thank you for your question. Swelling can last up 2-7 days after a filler injection especially around the lip or lip area. Prednisone will definitely help with the swelling quickly. I would recommend following up with the provider at 2weeks. I hope this helps!

Donald B. Yoo, MD, FACS · Answer

Due to the volume of the injection, Botox will leave some temporary swelling for about 30 minutes after treatment.  After this initial volume diffuses, there should not be any significant swelling.  Persistent swelling should be evaluated by your physician.

Michael A. Zadeh, MD, FACS · Answer

Hi Jan. I have never had any of my patients experience significant swelling after Botox injections, especially around the mouth for vertical lip lines. This is unusual and I would recommend following up with your injector (who was hopefully a physician) to see if everything is OK. Best of luck.

Suzanne Kilmer, MD · Answer

Sometimes  you can get a
little fullness because the decreased activity of the muscles doesn’t pump
tissue fluid out as well – and most people like that. We also published an
article several years ago showing that botox can also increase the amount of
lip show;  this was without swelling- just relaxation of the pursed lips
which pulls the lip inward allows the lip to go back to a more normal position.
And I doubt the prednisone will help unless you are having a very rare reaction
to the botox – I have never seen that though in the thousands of lips that I
have injected with botox.

Joshua L. Fox, MD · Answer

It is
unusual to experience persistent swelling after Botox injection. I would
recommend being evaluated by your trusted physician that performed your
injections.

Heather J. Furnas, MD · Answer

Swelling after Botox generally subsides rapidly and isn't usually apparent two days later, so treatment with Prednisone for swelling after Botox is unusual. See your doctor for an assessment and ask what he/she thinks is the cause of the swelling.Click on the link below to see another use for Botox around the mouth.All the best.

Benjamin Barankin, MD, FRCPC · Answer

It is very unusual to have any lip or other swelling for more than 15minutes after receiving Botox, and treating with Prednisone seems a tad aggressive unless the swelling is horrendous. Make sure to see your dermatologist right away to figure out what is going on.

I'm 2 days post Botox around my lips for small vertical lines. Should I still be experiencing swollen lips?

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