Is swelling common after Juvederm lip injections?
It’s been a full day since getting Juvederm injections in my lips and they still look swollen and disproportionate. I was going for something subtle to fill out my lips but right now I feel like I look like a monster. I can’t go out in public. When will the swelling start to go down, and should I be concerned that the injections were done incorrectly?
Juvederm is an excellent cosmetic dermal filler which is commonly used to combat age-related volume loss. We use it regularly to achieve a beautiful and more youthful appearance in the lips, nasolabial folds, marionette lines, and cheeks.
Swelling after a Juvederm injection is extremely common within the first couple of days. In most cases, the swelling is at its worst the day after the injections, so what you're describing sounds normal. In most cases the swelling goes down a little bit every day, and should leave you with beautiful fuller lips within one to two weeks.
If the pain and swelling do not appear to have improved after three days, you should seek the advice of your injector. If the pain and swelling appear to be getting worse, you should seek the advice of your physician immediately.
As with any cosmetic procedure, skill and expertise are extremely important. Always remember to consult with a board-certified plastic surgeon or dermatologist for best results.
Juvederm is an excellent dermal filler that offers extremely natural-looking results. We often use Juvederm here to both plump and reduce fine lines and wrinkles on the upper lip.
It's not clear from your question exactly how much swelling you're experiencing, but what you're describing is very common after lip enhancement with Juvederm.
Here are a few tips to help the swelling go down quickly:
Use ice packs wrapped in a towel or face cloth to help bring the swelling down. You should apply ice packs to the affected area in cycles of twenty minutes on/twenty minutes off for the first two or three days.
It's a good idea to avoid alcohol for the first 24 hours following the treatment because alcohol can cause your blood vessels to dilate and exacerbate the swelling.
It's okay to do some light exercise, but avoid any strenuous exercise for the first few days.
When you shower, it's a good idea to use lukewarm water until the swelling has significantly subsided. Hot or even warm water can make the swelling worse.
You can wear lipstick right away after receiving dermal fillers, but the area may be very tender. I usually advise patients that they're better off staying away from lipstick until their swelling has started to go down. However, gentle lip care products that contain SPF are a good idea.
Remember, unlike Botox injections, dermal fillers can be "undone" with an injection of Vitrase. If you're not happy with the results, you can either touch up with additional filler or completely melt the filler away.
If your swelling hasn't started to go down in the next three or four days, I suggest you contact your dermatologist or plastic surgeon and schedule a follow-up visit. At this point though, what you're describing sounds like normal inflammation.
The Juvederm family from Allergan (Juvederm Ultra, Juvederm Ultra Plus, Juvederm Volbella, Juvederm Voluma and others) are all FDA-approved hyaluronic acid filler treatments. It's very normal after receiving any dermal filler to experience swelling around the injection site.
After lip augmentation, the swelling is often at its worst roughly two or three days post injection. In most cases the swelling should have significantly subsided by day four or five, but you may have some residual swelling for up to two weeks following lip injections.
Juvederm lip fillers may also contain the painkiller lidocaine. While the painkiller does effectively reduce pain, it can also create increased swelling as a side effect for some people.
If your swelling has not reduced significantly within another three or four days, I suggest you contact your doctor or injector and schedule an appointment.
As with any cosmetic procedure, always remember to contact a board-certified plastic surgeon or dermatologist for safety and best results.
Swelling is very common after Juvederm injections. Dermal fillers can be traumatic to the soft tissue within the lips. Most patients experience swelling after Juvederm injections. Unfortunately there's no way to get rid of a swollen lip fast. If it's only been one day since your Juvederm treatment, it's likely that you have at least two more days of swelling until the final results become visible.
You can speed up the process somewhat by gently applying cold compresses to the swollen area during the first 48 hours. Remember not to apply ice directly to your lips, however, as it could cause mild frostbite. It's better to wrap ice in paper towel or a facecloth. If your lips are too sensitive to even apply ice packs over the first 24 hours, you can also try soaking a cotton ball in iced water and gently apply it to your lips.
I can't say whether or not any "mistakes" were made or whether you're suffering from any adverse or allergic reactions. But because swelling is so common after Juvederm injections it's most likely what you're describing is a normal inflammatory response to the Juvederm filler.
That said, if the swelling hasn't started to go down at all in another 2-3 days, I recommend you contact your doctor.
The short answer is that swollen lips are extremely common following Juvederm injections. In most cases the swelling is at its worst after two days.
Usually by the fourth day most of the swelling is gone, but it can also last for as long as two weeks in some cases.
Since you just had your injections yesterday, I’d guess you're looking at a couple more days of swollen lips, however, without a direct examination I obviously can't provide you with any more specific answers.
You can, however, reduce the amount of time it takes for the swelling to subside by applying a cold compress of ice cubes, or a face cloth dipped in ice cold water.
Be sure to stay away from warm compresses and hot water for the first couple of days as warm water doesn't have the same anti-inflammatory properties as cold water. When washing your face, use cool or lukewarm water and wash very gently. You can also blot your lips dry with paper towel if they are too sensitive.
Some patients ask about home remedies to reduce lip swelling following Juvederm injections. My advice is to stay away from these and allow your natural healing processes to work.
I do recommend arnica, however. Both topical and oral arnica have been shown to effectively reduce swelling and should be used immediately after the injections.
Other natural remedies like black tea bags, witch hazel, aloe vera gel, herbal ointments, coconut oil and tea tree oil are often discussed on online forums but they probably won't help you much, if at all, and in some cases they actually do more harm than good.
I also suggest you stay away from over the counter painkillers for at least 24 hours following your procedure. One of the side effects of NSAIDs is that they may make bleeding worse.
To answer your question about the possibility of mistakes being made: There's no way I can answer that without a direct examination. From what you said in your question, it sounds like the swelling is most likely a normal inflammatory response of soft tissue to the Juvederm filler.
Dr. Robert N. Young has 3 Filler to lip lines before & afters:
Injectable fillers used for lip augmentation, such as Juvederm, Juvederm Ultra or Belotero, can often cause post-procedural swelling or bruising around the lips. Swelling tends to be worst in the first forty-eight hours after the injections. Swelling that occurs in the immediate postoperative period can cause patients concern but the worst of the swelling usually dissipates within 2-3 days.
After 2-3 weeks the swelling should have fully subsided, and the final results will be visible. This will allow you to determine if you are happy with your results and if you require any touch-up work from your injector to attain the result you desire. If you are still unhappy with your lips at this point, there are treatments available to dissolve the Juvederm treatment, such as Vitrase, which can melt away the filler within one day.
To help encourage the swelling to subside there are things you can do. The gentle application of cold compresses or ice to your mouth can be an effective treatment. Ice as often as you can for the first several day, up to five times a day if possible, for twenty minutes at a time.
Some plastic surgeons also recommend taking arnica montana tablets for five days prior to your injections and following your procedure to help reduce swelling or bruising. Avoid taking medication such as aspirin, advil and ibuprofen for 48 hours before and after treatment as they are blood thinners and can increase the chance of bruising.
Juvederm is an HA filler. When administered in the right proportion, this creates an attractive outcome but when over-injected it can look unbalanced, with the upper lip or lower lip overly prominent. The best way you can ensure beautiful results is to get injections from an expert injector or facial plastic surgeon who specializes in filler treatments. Proper injection technique and sound judgment are essential for achieving voluminous lips that do not look over-filled.
Some swelling in the lips is usually common after receiving Juvederm filler injections. Juvederm contains Lidocaine, a local anesthetic which sometimes causes swelling. This understandably causes concern to patients as swelling may make the lips appear distorted or asymmetrical. Fortunately, severe swelling should not last more than a few days. Most patients enjoy good results once swelling subsides.
However, cosmetic medicine is not an exact science and even in the most capable hands patients sometimes experience outcomes that are not ideal. If you feel that the extent of swelling you are experiencing is disproportionate or excessive, there are actions you can take to address the swelling.
Call your injector or send them a photo to check out. They may invite you to come back for a follow-up exam. An experienced injector will know what is happening and provide you with advice about how to heal as quickly as possible, or offer a way to improve or reverse the effects.
Juvederm is a hyaluronic acid filler which means it is reversible. If you are truly unhappy and wish to ‘undo’ the Juvederm, hyaluronidase injections can dissolve the filler from your lips within a day. However, this is not usually advised for two weeks as it can take up to a fortnight before all swelling subsides and your final results are visible.
You can also help encourage the swelling to dissipate more swiftly by icing the area. Lightly applying ice for 15-20 minutes then resting before applying it again can reduce inflammation. However, be careful to not ice continuously as this can also aggravate the lip tissue.
Some surgeons also recommend their patients lightly massage the filled area to help resolve any asymmetry or lumpiness. Your provider can advise you about this and show you the proper technique.Some providers also recommend their patients take a low dose of prednisone for several days to help ease the swelling.
In this early post-procedural stage, be patient. Although the swelling is unpleasant, the vast majority of patients who receive dermal fillers to enhance their lips are thrilled with their results. When administered by a highly qualified board certified cosmetic surgeon or experienced injector, lip fillers usually result in a more youthful appearance and subtle, natural-looking enhancement.
Thank you for sharing your question. Swelling of the lip after an injection is quite normal. The day after the injection is usually when you will see the worst swelling. Usually this will go down a small amount each day, and for most women is gone by 4 or 5 days. I hope this was helpful to you. Best Wishes, -Dr. B.