Severe swelling after Volbella lip filler. Can I have some advice? (Photo)

Hi I've had fillers before and always experienced a small amount of swelling, but 5 hours after 1 vial of Volbella ( the first time I have had this filler) and my top lip feels like it's about to pop. The swelling is severe and very uncomfortable. If this continues I honestly think my lips will start to split. I've iced them and taken arnica (for the week leading up to the injections) but this swelling is really quite scary. I could use some advice on this please...

Doctor Answers 5

Volbella and swelling

With all lip fillers, swelling is expected, but this degree of swelling is marked. I can't comment on the technique, Volbella should not cause this exaggerated response. This will settle, 2 days of prednisone 50 mg am will help settle the swelling, as will ice. Could be technique, could be your reaction to the filler, regardless, see a Board certified Specialist who has plenty of experience with this product, and you will be fine. All the best, Dr Davin Lim Laser and aesthetic dermatologist. 


Brisbane Dermatologist
4.7 out of 5 stars 62 reviews

Volbella

In addition to ice and elevation, you might consider taking a mild steroid such as a medrol dose pack or low dose prednisone.  For future treatments, you should ask to have your injections done with a microcannula which is less traumatic.  I'd also suggest going back to Juvederm or Restylane.

John Burns, MD
Dallas Plastic Surgeon
4.6 out of 5 stars 33 reviews

Swelling

Hi there, see your original provider and get a prescription for prednisone. Some swelling with lip fillers is possible, but your amount of swelling is not normal. Could be injection technique or an an allergy or a combination of both. Make sure you're seeing someone who has a lot of experience with fillers.

Justin Harper, MD
Columbus Physician
5.0 out of 5 stars 16 reviews

See your injector

Swelling, redness, discomfort and bruising is common during the first few days following an injection treatment, however this appears quite severe. I suggest you see your injector. In the meantime, you can use cool, soft, flexible ice packs (or small packs of frozen peas) to keep the swelling down. Place the ice pack on the treated area(s) for 15-20 minutes at a time, 3 or 4 times per day. Do not keep it on for too long to minimize the risk of frostbite (since your lips may be numb you won't be able to feel the cold as much). Keep your head elevated.

Severe swelling after Volbella

Volbella is a hyaluronic acid filler for the lips available in Canada, and I have therefore not had experience with it, but it is similar to other hyaluronic acid fillers that I have worked with.

You are smart to ice it, but I really think you should see your doctor, who may consider injecting some hyaluronidase and/or perhaps giving you some prednisone. The swelling generally starts to come down very soon thereafter.

Sheryl D. Clark, MD
New York Dermatologist
5.0 out of 5 stars 7 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.