Is it appropriate to only inject Restylane silk into the upper lip?
Doctor Answers 20
Restylane Silk and Belotero are FDA indicated for lines around the lips. As you pointed out, they are thinner HA (hyaluronic acid) gels which "smooth" rather than project or volumize tissues.
There are several reasons why the lips will swell following injectables. Like the eyes, the tissue in the lips have receptors to swell or close the area to protect them from further injury like an insect sting.
These include: histamines and IgE. Some patients may activate "cold sores" which adds to the swelling. These injectables contain lidocaine, a vasodilator agent as well.
These smaller molecule HA's also have the propensity to attract more water molecules for the amount injected.
About one-third of our patients who have Silk injected into the lines around the lips do swell. Elevation, ice, antihistamines such as loratidine or certidine and if necessary, a medrol dose pack has been very useful. Give yourself about 3 days or less for the swelling to subside. If you do have a history of cold sores, then take Valtrex as well as prescribed by your injector.
Should you have a rapidly progressive sense of anxiety and difficulty breathing, call 911 or proceed directly to the nearest Emergency Room as there maybe a component of the HA causing a allergic response.
I hope this is helpful. All the best!
Restylane Silk and Belotero
Swelling 6 hours after lip injection
The filler recommended and injected into your upper lip lines seems to be an appropriate choice as it is a small molecule product that can be delivered superficially. Swelling, sometimes significant, is not unusual after injection of Restylane Silk. Swelling should decrease after 3 days. Try to avoid overuse of ice, try not to massage the area and swelling should go down quicker. After swelling subsides, most patients are very pleased with the results. Make sure that you see your surgeon if you are unhappy with results and have an open conversation.
I hope that helps.
You might also like...
Restylane Silk into the upper lip
Restylane silk is a good choice
Restylane Silk for Upper Lip Wrinkles
Restylane silk and Belotero are very similar products.
Ice packs, an NSAID, and antihistamines are helpful in this period.
Restylane Silk - Upper Lip
I appreciate your question.
Both Restylane Silk and Belotero would have been appropriate choices for the vertical lines in your upper lip. The swelling is most definitely temporary and should resolve in the next 3-5 days. In the meantime, you can ice your upper lip off and on as well as take some benadryl in evening (as it might make you sleepy). For any immediate concerns, or should symptoms worsen, please call injecting doctor right away.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
Best of luck!