Congratulations on choosing to improve the appearance of your lips. Here we will discuss what to do over the healing period after lip filler injections.
After Lip fillers
After lip fillers you may notice some of the following signs and symptoms
- Red needle puncture marks
- Itching in the area
- A much larger upper lip compared with the lower lip
- Swelling in the philtrum, the skin coloured area above the upper pink lip
- Significant projection increase of the upper lip
The above signs and symptoms can typically occur after lip fillers. Also, If you have had numbing cream you may feel some numbness on the skin surface. If you have had local anaesthetic injections you may also feel numbness and may not be able to move your mouth as normal until the block has worn off.
The issues above should wear off over the next days to weeks. The time that is takes to settle lips after filler is approximately 4 weeks. Alhough a lot of the swelling has improved within 2-3 days.
Things to avoid:
- No intense heat exposuer (eg solarium or sauna)
- Avoid pressure on the treated areas for the first few nights (i.e. sleep on back of possible)
- Avoid strenuous exercise and alcohol for 24 hours.
- Do not use active cosmeceuticals eg AHA, Retinols/Vitamin C therapy or oil based make-up for at least 24 hours
- Avoid facials, facial waxing, Glycolic or AHA peels, IPL or energy based treatments and microdermabrasion for two weeks after treatment. Please check with your physician before undergoing other facial treatments within this time.
- Avoid makeup if possible until the day after your procedure if possible. There are makeup brands which are created for post-procedure application.
Don’t use aspirin. Use Panadol or as advised by your physician. There is often pain for several days after your lip filler procedure.
Please use a cold pack regularly on the day of your treatment (no ice directly on skin). Arnica is also used by many patients
Patients on some medications, including aspirin, fish oil or other drugs associated with increased bruising, may find their risk increased. For the treatment of bruising, there are several over the counter topical treatments available, including Bruderm and Hirudoid.
Vascular laser is also an option for the treatment of bruising.
Some patients take Bromelaine as a preventative for bruising.
Some patient may be advised by their doctor to gently massage after their procedure and some may not. Please discuss this with your doctor. If patients notice lumpiness, then massage is often indicated.
Oral herpes is a common complication of lip filler treatments. Some patients choose to go on Lysine or an antiviral preventatively. If you do notice that you’re getting a cold sore after your injectable lip treatment. Please call your doctor for an assessment. Antiviral oral drugs or topicals may be prescribed and also a special dressing for oral herpes sores can be helpful.
Are you happy with the results?
This question should not be addressed until 4 weeks after the treatment, as the results will take that long to settle, particularly in the case of symmetry issues, which it is inadvisable to address too early as doing this can create greater symmetry issues. After your first treatment we advise a review at 4 weeks. If at that time you would like further treatment, it can be performed (there are no “free top ups” with dermal filler, all product is paid for by the patient).
We are all asymmetrical to start with and your doctor will do their best to improve on your natural symmetry. Symmetry after a dermal filler treatment should not be assessed for 4 weeks.
Retreatment should occur at 1-6 months after your treatment
Once you have reached your aesthetic goal, filler may need to be injected only once per year.
Common complications have been discussed already. The more serious complications include vascular occlusions. What happens with a vascular occlusion is that the filler enters a vessel and blocks off the blood supply to the skin. The area may go white or blue or dark and may have a fishnet appearance. Another feature of a vascular occlusion is that it may not be at the injection site, it may be at a more distant location.
Early infections may occur after a few days after the treatment. The patient might notice increasing redness, tenderness, swelling, pain, heat, nodules or pus. Patients should see their doctor if this occurs.
Please call your doctor immediately id you are worried about any of these issues above.
If you are concerned post-treatment, please call your clinic. If you are unable to contact your clinic or your doctor and you are concerned that it is an emergency, please visit the emergency department of your local hospital.