Extreme bruising and swelling 24 hours post 2 syringes of Juvederm Volift injections in top and bottom lips (Photo)

Question

The swelling started yesterday (the day of the procedure) but this morning I woke up horrified my lips are 3 times larger and more swollen than they were yesterday, there is more bruising and I look very deformed and not human, Is this normal...? how much reduction should I expect when it calms down? I knew I'm gonna bruise and swell but did not think to that extent This is my first time getting injections with HA and I got one syringe of juvederm Volift in top lip and one in the bottom lip

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry that your current lip augmentation results have caused you concern.  Swelling after filler placement into the lips is quite common due to the thin nature of the tissues.  This swelling, and your results, will steadily improve over the next 10-14 days.  It often takes up to 2 weeks for fillers to soften and the tissues to appear more natural.  In the meantime try reducing the swelling by using cold compresses to your lips and elevating your head at night with a couple of extra pillows behind your back.  You may want to also consider using Arnica Montana and bromelain as supplements.  Hang in there!

John J. Martin, Jr., MD · Answer

Most people will swell with any injections into the lips, and Juvederm is very hydrophilic which means it will attract a lot of water, so you get even more edema.  One tube per lip is a pretty good amount of filler, so you will have very full lips.  It looks like the swelling is better at 24 hours than it was at 10 hours, so you should start to improve now.  Use some ice again today and some ibuprofen.

Mariusz Sapijaszko, MD, FRCPC · Answer

Swelling after Juvederm can definitely happen and some patients can swell more than others. I looks like you have a lot of swelling and I definitely recommend contacting your doctor as son as you can. Without seeing your lips before the injections, it is hard to know if you really needed that much filler.In any case, each patient and situation is different and I definitely recommend that you contact your doctor as soon as you can.

Dmitriy Schwarzburg, MD · Answer

This degree of swelling may be normal. Observe if it will subside in the next couple of days. If this persists, consult your doctor.

Vibha Gambhir, MD · Answer

Hello and thanks for your question.  It is normal to have swelling to the degree your experiencing after 2 syringes in the lips.  Typically swelling can last up to 5 days.  You can try to gently massage lips through out the day to be sure filler is smooth.  After 5-7 days if swelling persists, notify your provider and have a follow up appointment.  Hope this helps!

Extreme bruising and swelling 24 hours post 2 syringes of Juvederm Volift injections in top and bottom lips (Photo)

Answers (7)