How long should I wait with a filler problem before calling my doctor?

I had Juvederm filler 3 days ago, i have slight bruises on the marionette lines and in the cheek. will these go?..Also,i see that below the lower lip is over filled which i dont like. Can this be dissolved and how long should i wait. My dr.'s appointment is after 7 days from date of it too long.? should i fix an appointment sooner? I dont want to wait till its useless, esp. that there is also a bump on the corner below the lower lip. Thank you.

Two answers to this.  

1.  Most dermatologists would say that a small to medium amount of bruising, swelling and slight uneveness in the beginning is normal.   Waiting a week for those to resolve is appropriate, in my opinion.   The filler needs to "mature" over the week.   It absorbs water from your own tissues and generally softens and flattens a little, depending on what type of G prime product (more on this later) it is.  More on fillers.

2.   However, rare but occasionally serious complications can occur from fillers!  If the bruising is severe, there is pain or a uneven coloration of the skin (mottling), your dermatologist or doctor should ask for a photo or should see you right away!!  These complications can be treated but time is important.   Also, if there is a significant asymmetry that you know won’t be gone in a week, call so you don’t have to live with it for that long.    And NEVER, ever let anyone put a permanent filler in your face, in my opinion.          Dr. I



Dr. Brandith Irwin, MD

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