I had Restylane done less then 48 hours ago and it looks like the filler is leaking? Or is it just swollen from the need?

I recommend following up with your injector. If necessary, the filler can be reversed with hyaluronidase. Best, Dr. Emer

Thank you for your pictures and question.Although swelling IN the lips is common for a few days post injections to lips, your swelling is a bit unusual as it is quite outside the red lip and the white rolls (vermillion border).  There is no concern about arterial injection yet it seems like you might need a dissolving agent.Best to visit your injector.Dr. Marc DuPere, aesthetic plastic surgeon

Lip filler can look funny 2 days later due to swelling and other factors. After lip injections we always suggest waiting 10-14 days to allow it to settle. Within reason, small issues tend to resolve as the filler tissue integrates. Your photos appear a little funny. Not dangerous like there’s a vascular occlusive event or an infection: just funny, like the filler was injected poorly. I would give it a few days. If not improving, then perhaps a dissolving injection is needed.