Unusual Uneven Swelling Appeared 30 Hours After Restylane Lip Filler? (photo)

Thank you for your question. It is very common for the lips to look
over corrected or fake the next day. This is due to all the swelling
that ensues. I often tell my patients that this
is the "oh my gosh" day. It can be 'oh my gosh' my lips are so
swollen! It could also be 'oh my gosh' I love my lips even more than
yesterday. Either way, the swelling may last a few days with every day
showing a decrease
in swelling. The more you ice the first day or two, the less swelling
you will have.Based on your photo, however, you have quite a bit of asymmetry with the swelling.  It could be due to a bruise or uneven product placement.  I would return to
your injector on Monday if you feel like the swelling and asymmetry is not improving on its own. 

While swelling is normal, this is unusual since it's quite pronounced. I would recommend you see your injector for an assessment. Best of luck.

     You need to be examined and followed closely to ensure that there is resolution of this swelling.

 

 

Kenneth Hughes, MD Los Angeles, CA

Looking at your photos, you have an unusual amount of swelling following your treatment. In general, the side effects of Restylane may include:

1) Light bruising
2) Swelling
3) Lumps or bumps

I would recommend visiting your provider for an exam before you go on any vacations. It is best to have your lips checked out asap to rule out the possibility of any serious complications that may have arisen. I hope this helps, and I wish you the best of luck.

Hi Jenna.  The swelling shown in the picture combined with the description of a hard bump is a bit concerning.  You should have your injector at least evaluate the bumps before you go on Holiday.  While it may very well be something easy to address, you want to make sure when the swelling is that pronounced and it is combined with a hard lump.  Good luck.

Sounds like you need to see your provider for follow up and discuss with them what to expect. It's not uncommon to have swelling, but the apparent lump can be massaged and/or removed. If you're about to go on holiday, the sooner the better!

Thank you for your question. It is common to have some swelling after fillers for lip augmentation which can take up to 2 weeks to resolve. You can apply cold compresses to the area to help reduce swelling and bruising. It is also advisable to avoid any NSAID’s before and after treatment as they tend to thin the blood and increase the risk of bruising and swelling. If you have any other concerns please contact your treating physician. Best of Luck!

It is unlikely that this is Restylane itself as there looks to be more volume then you would have had injected. I think that there is swelling and maybe bleeding. As the color appears normal I do not think that it is an emergency but I would go back to your provider for  evaluation before vacation.I might take some antiinflammatories and apply warm compresses as at this point this is more likely to be a hematoma then plain swelling. Unless there is blood vessel compromise or fear of that I would not dissolve this yet.  Also, you might consider using some Restylane in your lower lip rather than the upper next time you do this.

Thanks for your question and photo. It is not uncommon to have temporary swelling after lip injections. More persistent lumps or bumps could be product not massaged into place well enough or a hematoma. Regardless, I suggest you return to your injector for an evaluation and assistance. I hope this was helpful.

This is a very large lump, especially for only .5ml. I would suggest you not wait, and return to your injector immediately for an evaluation. Do not go on vacation without confirming with a professional what this is. While swelling and bruising with any fillers is normal, the fact that you've had fillers before and never had this, has me concerned.