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Juvederm swelling - how much smaller will my lips go from day two?

Swelling after lip filler can take up to 2 weeks to resolve due to the high vascularity of lips. In my experience, the lips tend to be the most swollen the first 3 days after the initial injection but may take up to 2 weeks depending on the amount of product used and whether there was any bruising. It sounds like you may have a small bruise at the left upper lip. It may be a good idea to wait for the swelling to resolve and then decide whether or not you're happy with the results. You can also consider adding some filler in the lower lip for a more classic lip shape, where the bottom lip is larger than the top lip. Worst case scenario, you can have the filler removed using a product called hyaluronidase that will break down the existing filler.

Clinical Context

Hyaluronic acid filler attracts water, so lips often look their puffiest around day two to three after injection. This early swelling isn't the final result — as inflammation settles, the lips gradually look less full and more natural. Some uneven puffiness between the two sides is common early on and typically evens out. Bruising, tightness, or firmness can also contribute to how large lips appear right after treatment, separate from the filler volume itself.

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.

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