My top lip is bruised and sagging. Will my lip lift back up once the bruising goes? (Photo)

Question

I recently got juvaderm for the first time 5 days ago. The first night it was beautiful. My lips looked great. Then the following morning when I woke up, not only was I bruised (which I know is normal) but my upper lip on the left side was saggy. The upper left side was the only part of my lip that was bruised. I went back and they said when the bruising went away my lip should lift back up. Is this true? This couldn't be something permanent right?

Marie E. Montag, MD · Answer

Bruising and asymmetries can frequently happen early on
after Juvederm injection. Usually the
amount of bruising is mild and resolves quickly, but it is more likely if you
have had any medicines that thin your blood within a couple weeks of
injection. Medicines like aspirin,
ibuprofen, Motrin and Aleve are particularly noted to thin the blood and allow
for bruising. Also, many of the herbal
medicines/supplements (like flaxseed, fish oil, garlic, and St. John’s wort.)
have the same blood thinning properties. Even some vitamins in excess to that… for example, an excess of 100% of
the daily allowance of vitamin E will produce the same probability of
bruising. Stopping those medicines for 2
weeks prior to injection has helped our patients reduce the incidence and
severity of bruising and produce more predictable results.The ‘drooping’ of your lip is the extra blood in the tissue
that swells and distorts the tissue. This should be better as that blood metabolizes and is absorbed, but
that may take a couple of weeks. In
extreme cases where there is a lot of bleeding in the tissue, the blood
actually put enough pressure on the fat cells that is kills those cells and
once the swelling goes down you are left with a thinning of the tissue and
indentation.(This is something we
obviously we want to avoid at all costs.)The amount of swelling and bruising that you
have is mild, and I would expect it to resolve completely over time without
leaving any permanent deformity.

Jerome Edelstein, MD · Answer

It should return to normal after the bruising and swelling go away. This can take up to two weeks.If it doesn't resolve by then I suggest you return to your injector for a follow up.

Michael H. Gold, MD · Answer

I am sorry you had a bruise following your procedure — and once the bruise has resolved, the area should go back to normal. I would recommend you follow up with your provider if you have any concerns – but I think in the end everything will be fine.

Michael Elam, MD (retired) · Answer

Dear arusty21, The bruising and swelling are most likely adding to your current complaints. Once this dissipates then you can reevaluate your result. This is not permanent. Best regards, Michael V.Elam, M.D.

Francis R. Palmer, III, MD (retired) · Answer

If the lip is bruised, it most likely has swelling in it.  Once the bruising and swelling are gone, you can reevaluate it.   Juvederm is a temporary filler, and will dissolve with time.

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My top lip is bruised and sagging. Will my lip lift back up once the bruising goes? (Photo)

Answers (5)

Answer: Bruising after Juvederm

Answer: Bruising after Juvederm

Answer: My top lip is bruised and sagging.

Answer: My top lip is bruised and sagging.

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Our mission is to create a world where every investment in modern beauty is Worth It.