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 11


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.

Dallas Plastic Surgeon
4.7 out of 5 stars 45 reviews


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 19 reviews

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. 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

Swelling after Vobella


I am sorry your experienced such swelling with your Vobella injection.  Your reaction to Vobella is very unusual since the technology in the product is specifically designed to have less water absorption, and therefore less swelling than the other fillers on the market.  Your injecting physician should be notified immediately of your reaction, and if necessary start you on a course of oral steroids to decrease the swelling quickly.  Best of luck!

Dr. Edween

Julie Edween, DO
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Swelling in the lips after fillers

Swelling in the lips is common after injections with fillers, however, the amount of swelling your photos show after 1 syringe of volbella seems to be disproportionate.  Please consult with your injector.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Lip swelling from Volbella

I'm very sorry to see the pronounced lip swelling you've experienced. In my experience, Volbella produces little to no swelling but every patient is different. In addition to the ice, I would suggest Ibuprofen 200-400mg with every meal. Even better, your injector should be able to prescribe some orals steroids for a few days to rapidly reduce the swelling. There shouldn't be any long-term issues from this.

In addition to the products used, remember, especially with fillers, the skill of the injector is paramount. Always seek out an expert in facial aesthetics, such as a board-certified dermatologist to maximize results while minimizing side effects.

Peterson Pierre, MD
Thousand Oaks Dermatologist
5.0 out of 5 stars 2 reviews

Swelling following Volbella injections

Since Volbella comes in a less than 1 ml syringe it is uncommon to see this type of swelling from one syringe. It does not appear to be a hematoma since there is no bruising. Swelling from HA fillers usually resolves in 48 hrs, however, I would recommend an oral steroid since this has you concerned. Be sure to contact your injector so they can see you as soon as possible. You should not have any long term consequences as a result of this swelling.  

Michael P. Morrissette, DDS
Ventura Oral & Maxillofacial Surgeon
5.0 out of 5 stars 4 reviews

Volbella and Lip Swelling

Volbella can sometimes cause this kind of swelling in the lip area when used directly into the lips and not the lines around it.  The swelling generally takes about a week to settle down and I would recommend ice and sleeping with your head elevated.  Restylane causes much less swelling in the lips.  Please consult an expert in lip injections for the best cosmetic results.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 78 reviews

Swelling after Volbella


This degree of swelling is more than I have seen after Volbella (or any other lip fillers).  I agree that ice and elevation are a minimum, though the provider that did the injections should be contacted and notified about the severe swelling.  Oral steroids should be started to decrease the swelling and you should be monitored closely to make sure this does not progress.

Best Wishes,

Summit Kundaria, MD

Charlotte, NC

Summit Kundaria, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 6 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.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 179 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.