Swelling and Discoloration 3 Weeks Post Juvederm

Filler injections (regardless of which ones) into the lips can inadvertently hit tiny arterioles or veins that can bleed somewhat more than the "usual" needle stick. Since multiple sticks are utilized for the usual filler session, there is always the possibility that a vessel might be hit and bleed a bit more than "average," causing a small bruise (or slightly larger one) that can turn into scar tissue or just harmlessly reabsorb.

Avoiding ANY aspirin or ibuprofen (Advil, Nuprin, etc.) 2 weeks before filler (or Botox) injection can help to reduce the severity of any bruise or bleed from that random vessel hit!

The reddish discoloration is simply breakdown products from the blood that caused your bruise. Gentle massage can help to soften the firm areas (lumps), or steroid injections can be done to help the scar tissue soften and diminish. Any experienced plastic surgeon, facial plastic surgeon, or dermatologist can help you with persistent lumps due to scar tissue.

Realize that this is not the "fault" of the injector, nor the type of filler chosen. Just random bad luck that can (and does) to anyone doing injections in the face or lips!

Lumps and bruising usually resolve on their own, once the filler starts to get incorporated with your own skin tissue and you recover from your treatment. It would be best if you book a follow up appointment with your injector in 1-2 weeks, and he/she can massage any residual lumps or bumps at that time.

The Tyndall effect involves the way light reflects off surfaces and can create a bluish coloration when the Juvederm or Restylane is injected close near the surface. I have seen this near the corners of the lips. It can be expressed by the doctor, or dissolved with hyaluronidase.