Is this deep bruising or necrosis? I had lip filler done two days ago with Juvederm. (Photos)

I recommend following up with your injector for a formal evaluation. Additional hyaluronidase may be needed and you should be treated with topical vasodilators (nitropaste) as prevention. Best, Dr. Emer

Since you had an occlusion, I recommend following up with your injector. Additional hyaluronidase may be needed to fully dissolve the filler. 

Thank you for your question. It is difficult to advise based upon your photos, however, I would advise that you continue to follow up with the provider who did your injection, or a board certified plastic surgeon in your area to assess whether further hylauronidase is required to treat the area. 

Thank you for your question. It is difficult to give you advice on your photos. However, I would continue following up with your injector if he/she was worried about necrosis as additional treatment of hyaluronidase may be required. I hope this helps!

It is difficult to tell from your photos if this is necrosis vs bruising. It is best to follow up with the doctor who injected you when there is a concern of necrosis. if there is significant pain that is worsening with time rather than resolving, that is a sign of necrosis rather than bruising.