Follow up to my previous question: Very bad bruising with Juvederm - Healing Process. (photo)

Hello, Well I hope this is just a bruise.  If it is a bruise then it will clear up within 2 or so weeks.  Your picture could be more clear and I cannot touch the site, however, it appears to me that you may have an injury to the skin.  I repeat that I am not 100% positive without a better examination.  You should see your doctor for a physical exam ASAP in order to identify if you are bruised and/or you have a skin injury.  It is a possibility that hyaluronic acid fillers (or any filler) can be inadvertantly injected into a small blood vessel that feeds the overlying skin with oxygenated blood.  If the blood vessel gets obstructed with the filler then the surrounding tissue can get injured.  It's synonymous with a heart attack or stroke.  Assuming this is a skin injury (necrosis) and you are a week out, the damage may be done and the healing process will take longer (weeks).  The treatment for this type of injury is to flood the injected site with hyaluronidase.  Hyaluronidsae is an enzyme that dissolves the filler.  I would still do this treatment at a week out.  The aspirin in that case may have not been a bad idea at all because it will thin the blood to that site.   Keep using the vaseline often and maybe try not to put make-up on it if possible. You need to see your injecting doctor or a referral from him or her to another specialist.  This is a tricky question because of its sensitivity and my lack of examining you.  It does not mean your doctor necessarily injected you wrongly.  Internet questions and answers are limited in ways.  Good luck.  Please let me know what happens. 

The lips are a very vascular therefore the chances of bruising are increased in that area.  Unfortunately, bruises can occur even with the best of injectors.  Bruising should last for approximately 1 week.  If you don't feel that the bruise is healing properly or you have concerns with your treatment,  you should see your Doctor for an assessment.   

Bruising after injections of filler can occasionally happen, even in the best of hands. I always tell my patients that if it is something that concerns them, then it is something that concerns me. You need to get in and see your doctor. It is most likely just a bruise, but what your physician should be worried about is this actually representing early signs of necrosis from the filler injections. This is very rare, but it is something that your physician should be ensuring is not happening.It sounds like they already thought of this, and that was the reason for the warm compress and the aspirin. Nonetheless, if that is something they are suspecting they should be seeing you!To boot, if your physician has experience with lasers, they can easily use a pulsed dye laser to erase any bruising that you have, or at least help it go away more quickly. It's quite impressive actually.Be sure to choose a dermatologic surgeon, oculoplastic surgeon, facial plastic surgery or plastic surgeon who is board certified and fellowship trained in one of these core four