Extreme swelling of lips following Restylane silk injections. (photo)

Extreme swelling after Restalyne Silk injections tends to be pretty usual especially if injected on the lips.  In our office, we get patients started on a Medral pack right  away as well as an antihistamine like Zyrtec and that seems to make the swelling a bit better .  You may want to   call your provider's office and ask for a steroid pack.  Be patient, your lips will look beautiful in a few weeks.

I'm sorry about your extreme swelling. This occurs more often with all the new generation fillers. You should not massage as this has been shown to lead to worsening swelling. I suggest elevation when sleeping and continue icing. 
Call your injector if this continues.

Since you're concerned, I recommend following up with your injector. Swelling is normal after lip injections and can last 1-2 weeks. I recommend warm compresses and applying firm pressure between two fingers on the lips for a few days, for 5 mins a time, in order to help decrease swelling. See an expert. Best, Dr. Emer 

Swelling after a Restylane Silk injection is not uncommon and can be more pronounced in some individuals. It’s typically temporary and should subside within a few days to a week. To manage the swelling, you can try applying ice or cold compress to the area and avoid touching or pressing on it. If the swelling persists or worsens, it’s important to consult with the healthcare professional who administered the treatment for proper guidance and to rule out any complications.

Thank you for your question and the photo. This is not a normal reaction to fillers. You should go to your local emergency room to seek medical attention to ensure there is not hematoma or anaphylactic reaction. You should have the filler reveres right away with hyaluronidase. Best of Luck!