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?


F, 28, Iowa

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.

Swelling is VERY common after Juvederm injections to the lip   Recently, we've been using Volbella more and more, which is in the same family as Juvederm, but in my experience it causes less swelling.

Absolutely, there is swelling after Juvederm lip injections.  The swelling typically lasts 2 days. So, this should be considered when you have your treatment done.   There are some new fillers that have less swelling than Juvederm. These can be discussed during you consultation.

The injection is traumatic to the tissues, so you should expect swelling.  Most of the swelling should be down in about 3 days.  You may also get some bruising.


It is normal to have swelling after lip injections. You will see your final results after 1-2 weeks. After this time evaluate your results.