Is my bruise underneath my lip (after having restylane injected into my lips) anything to be concerned about? (photos)

Restylane is a hyaluronic acid filler which is in a gel form and soft. It can be injected in the lips to help add natural appearing volume and shape to the upper and lower lips. Usually 1 to 2 cc's are needed for correction. It is done in the office with topical or local anesthesia. Restylane-L has lidocaine in it, so comfortable lip injections can be done easily. Application of ice after the injection is necessary and needed to continue for about 2 days after to limit swelling and bruising. Swelling and bruising can be expected and this can last between 2 to 4 weeks, though limited with application of ice packs every 4 hours for two days. 

Bruising and swelling are common side effects of lip injections. Avoid all ASA products, alcohol and ibuprofen prior to treatment to decrease possible bruising. You can apply cold compresses to the area and apply traumeel ointment to the area to absorb the bruise faster. Brusing can last approx. 2 weeks. If the bruise becomes worse, gets darker, pain increases, contact the clinic where you had the injection and discuss your concerns with them. All the Best. 

Bruising is possible with any injection, so it is not unusual that you got a bruise after the Restylane injection to your lip.  As bruising resolves, it tends to move downward with gravity, which is why you may see some bruising on an area that wasn't treated.  Your bruise should resolve completely over several days to a week or so.