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Duck-shaped Lips 48 + Hours After Juvederm Filler?

Swelling due to the injected filler can cause concern in the first few days post injection. Normally once the swelling subsides in a few days, most patients are happy with the end result. If you feel that too much filler was placed at your lip, contact your injector to see what your options are. Hyaluronidase can dissolve the filler, but usually giving it some time for the swelling and bruising to resolve and even massaging it can help.

That said, if you notice blanching or white, dusky, or blue skin, severe or increasing pain, coolness of the skin, vision changes, or any stroke-like symptoms, you need to be seen the same day, since these can be signs of a blocked blood vessel, which is treatable with hyaluronidase if caught early.

Clinical Context

Swelling and slight asymmetry are common in the first few days after lip filler and usually improve as the body clears normal post-injection inflammation. Gentle massage is sometimes suggested to help smooth uneven areas, though results vary by patient. If the shape still looks off once swelling resolves, your injector can check whether more filler or hyaluronidase — an enzyme that dissolves hyaluronic acid filler — is needed. Seek prompt care for severe pain, skin color changes, or coldness in the lips.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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