Upper Lip Severely Swollen from Restylane

I had Restylane injected into my upper lip yesterday. The swelling was quite severe, as my mouth looked like a duck's beak! This morning, it seems much worse! I can hardly talk or move my mouth, since it's very stiff. Is this normal? What can I do do make the swelling subside? I'm freaking out, I look horrible!

Doctor Answers 13

Swelling after Restylane

Most swelling settles down within a week or two. See your injector if swelling lasts longer than that.

In the meantime, you can use cool packs to ease the swelling, placing them on your lips or 15 minute stretches 3-4 times a day. (your lips may be numb at the moment and doing short stretches with the ice pack minimizes the risk of frostbite).

Swelling is expected after lip injections.

It is normal to see some swelling following lip injections. The lips are a very sensitive area, and swelling can be quite pronounced for a few days following injection of filler. Be patient, and the swelling should subside over the next week or two. In the meantime, you can ice your lip and keep your head elevated to help manage the swelling.

Douglas Wu, MD
San Diego Dermatologist
5.0 out of 5 stars 28 reviews

Lip Swelling Common After Restylane Lip Filler

This is usually a temporary problem that will resolve with time.

My best advise to patients after lip augmentation, is that you will LOVE the look best in 2 weeks. By then the swelling will subside and any unevenness can be gently massaged and mobilized. If filler "travels" in the mid -lip, it can be smoothed but is best done by the provider. Cold compresses may be used immediately after treatment to reduce swelling only if needed. It will resolve regardless!

Ronald Moser, MD
San Juan Capistrano Physician
5.0 out of 5 stars 1 review

Swelling after lip augmentation

Lips do tend to swell after lip augmentation.  I tell my patients that the following day is the 'oh my gosh' moment that can go two ways:
1)  'oh my gosh' will the swelling go back down?  they are so big!  Answer --> yes, give it another few days
2)  'oh my gosh I love the lips even more today! will this go down?' Answer --> yes, it will go down.  you may need more volume in the lips to achieve what you are looking for.

Lip swelling after Restylane or Juvederm is temporary and to be expected

Restylane and Juvederm are hyaluronic acid fillers that 'plump' tissues by attracting fluid to the area of injection. Therefore lip swelling after Restylane or Juvederm is not unexpected but can be minimized with discreet augmentation along lip borders with application of ice pack afterwards.

William Ting, MD
Bay Area Dermatologic Surgeon
4.8 out of 5 stars 12 reviews



Swelling, sometimes severe, can occur after Restylane lip augmentation.  It is usually worse in the morning after sleeping in a flat position.  Try some ice compresses and sleep with your head elevated on several pillows for a few nights.  Good luck!

Restylane SILK swelling with Lip Enhancements

Restylane  SILK can produce swelling in the lip just as Juvaderm Ultra XC can.  Since they are both hyaluronic acids and hydrophilic(water loving)  water is drawn into the area with fast injection, causing exaggerated swelling.  This is usually a temporary problem that will resolve with ice, benadryl orally and time. Contact your provider if the swelling persists or if you have increased pain.

#Restylanesideeffects   #LIpswelling   #lipenhancements

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 90 reviews

Minimizing Lip Swelling after Lip Augmentation

Swelling to a varying degree is expected. Here are some tips to make it go away faster -
  • Continued head elevation - sleep in recliner chair for up to the first week
  • Icing - not directly on skin, 20 min on then 20 min off if comfortable for the first 3 days
  • Low Salt diet
  • No heavy lifting, bending over or intense exercise
  • Bromelain and/or Arnica

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 125 reviews

Temporary swelling occurs with Restylane injections

Restylane is a hyaluronic acid filler. After injection, the hyaluronic acid absorbs water temporarily and will swell for 12 to 24 hours. Instructions after treatment include application of pressure, ice, and minimal activity in the injected area (i.e. minimize chewing and talking after injection).

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 90 reviews

Swelling after lip augmentation

It is almost impossible to completely avoid swelling and bruising when augmenting the lips. The lip tissue is very delicate.

Typically, swelling occurs immediately after the treatment and can appear worse the next day. In most people, the swelling is gone after 36 hours, but in some people, it may last 2-4 days.

It is unlikely that you are having an allergic reaction, as Restylane is an inert substance, but your body will certainly recognize that you had a treatment done. Some people need to take cortisone for a couple of days, or get a cortisone shot from their doctors.

Restylane may also feel very firm for a couple of days after injection. If you had a large amount injected you will notice this more than if you only had a small amount injected.

Do not touch, massage, or manipulate the area. This will not help the firmness or the swelling, and may make the swelling worse. It could also push the material out of your lips and away from where you want it!

Right after you have lip augmentation, apply cold packs for 5 minutes every half hour for the first 8 hours and sleep upright. If you have bruising, you may apply Arnica cream and take Arnica tablets.

If you are worried, or if you have severe bruising or swelling or pain, or are concerned about the appearance, you must follow up with your doctor.

Jordana S. Gilman, MD
Atlanta Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.