Major lip swelling after Restylane Silk

Had restylane silk in the border of both lips yesterday (less than half a vial). Was a bit swollen small bruise, after. Got home in an hour, took pictures, looked OK, at one point thought, This will look good! 5 hours post the swelling started & it just grew and grew. It's now a 14 hours post & lips are enormous, ridiculous they hurt they're tight & there's a few bruises. This is just swelling, right? Resty silk doesn't get bigger? Will they return to post injection size? I'm worried. Thank you!

Doctor Answers 13

Post Injection Side Effects with Restylane Silk

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This is a good question that we encounter occassionally. For the most part, the swelling will indeed resolve spontaneously and the filler will remain without the distortion from the swelling. Often , if this product is injected too fast , this is the sort of result we see, as the product as an affinity for water which more easily can cause swelling.
My best advise is to consider using Juvaderm Ultra for your next lip injection!

#Restylanesideeffects   #Juvadermsideeffects   #lipaugmentation

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Swelling After Restylane Silk

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It's very normal to experience swelling post-injection.  The degree of swelling varies from patient to patient.  Some experience swelling for a few days while swelling can last up to a couple weeks in other patients.  Don't worry, the swelling will go down.  Keep icing the area, take arnica and follow any additional post-care instructions given to you by your doctor.  Make sure to communicate your concerns directly with your injector so that they may manage your care closely and keep all of your follow up appointments.

Vu Ho, MD
Plano Facial Plastic Surgeon
4.8 out of 5 stars 61 reviews

Restylane Silk Swelling

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Thanks for your question. Yes, you are correct.  After injecting, it is normal for patients to experience swelling with the product. It should subside within a few days, but it can also last anywhere from 1-2 weeks.  I would recommend waiting at least 2 weeks to see the final result. If you are still unhappy with your results after the 2 weeks , return to the physician who injected you for a follow up examination.  Best, Dr. Green


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Yes, you are correct, any increase in volume you experienced after the injection is from swelling and should subside within a few days. It is common for patients to experience mild to significant swelling and bruising with the product. In my experience, the swelling reaches its peak the morning after the injection and slowly goes down throughout the second day. I recommend waiting at least 10 days before evaluating the result- at which time, if you are unhappy with the result, return to your injector for an examination.

Justin Harper, MD
Columbus Physician
5.0 out of 5 stars 24 reviews

Its normal

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Yes, they will return to normal. There is always some swelling post-injection and unfortunately for some it can be more than a little mild. It does return to its immediate post-injection look within three days.

Vijay K. Bindingnavele, MD, FACS
Corpus Christi Plastic Surgeon

Lip Swelling /Restylane Silk / fillers / hyaluronic acids / Restylane / Aging Face

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I appreciate your question.

This is common and can last 7-14 days.  You can ice the injected area off and on every 10 min.  Also, I recommend that you contact your Injecting MD to make them aware of the degree of swelling that you are experiencing.

The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.

Best of luck!

Dr. Schwartz

Swelling with Restylane Silk

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I have noticed the same type of swelling with Restylane Silk on my patients. Restylane Silk is a hyaluronic acid filler which plumps tissues. It is the thinnest filler available.  This will result in fluid rushing to the site of injection, so swelling is completely normal. Most swelling will typically reside in 2 or 3 days. At most, swelling may continue at most for a week. If swelling lasts longer than a week, please contact your injector.

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon

Lip Swelling After Fillers Such as Juvederm or Restylane -- Reverse With Hyaluronidase

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This is common and will resolve in 1-2 weeks. if not , please see your physician and have the filler reversed.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Major lip swelling after Restylane Silk

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Hello SallyAnne,

It is normal to have some swelling after any lip filler, but not massive swelling.  The product itself does pull in a little bit of water to improve the appearance, but nothing significant.  Silk is also leads to more of a subtle changes for the lip to help with the wrinkles on them as opposed to some of the other fillers which add a lot more volume.  Because you indicated they feel tight and are starting to hurt, I would recommend you follow up with your injector to make sure everything is appropriate.  

I hope this helps and good luck.  

William Marshall Guy, MD
The Woodlands Facial Plastic Surgeon
5.0 out of 5 stars 31 reviews


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It is common and expected to see swelling  of your lips after a restylane injection in the first 48 hours.    The swelling then decreases rapidly over the next week or two.     If you see uneven swelling or pain, you should return to you injector to examine you.    Your final look will be similar to the result your had right after it was injected.  The final look varies but it is apparent at 1 to 4 weeks. 

Kenneth Sumida, MD
Folsom Plastic Surgeon
5.0 out of 5 stars 19 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.