The main immediate risk of dermal filler is bruising on the day and in the days following treatment. You may see some swelling after dermal filler but this depends on the area being treated. The areas that have been treated with dermal filler can feel a little tender for a couple of days after treatment. This is normal.

The areas that take the longest to recover after dermal filler include:

  1. Lips– It is common to experience bruising after lip enhancement and this can last for up to 5 days. You will have some swelling after treatment, but this settles usually within 48 hours.
  2. Marionette lines– this is the area from the mouth corners down to the jaw. We estimate that 30% of patients experience some bruising when this area is treated with dermal filler.
  3. Tear trough– this is the area under the eye and a sensitive area to treat with dermal filler. The skin under the eyes is thinner than on the rest of the face and it is more common to experience a little puffiness in this area in the days after treatment which will settle back down.

At Cityskin, we suggest always allowing 2 weeks for swelling to go down after dermal filler. This time allows the filler to integrate into the tissue, and white cells to heal the area from the trauma of the needle/ cannula. We have seen some cases where people can feel very puffy for 1 month after treatment if they suffer with sinus problems.

If swelling that that lasts longer than this occurs, please contact the treating medical practitioner. The lymphatic system runs right under where the tear trough is located and has the potential to cause swelling, due to lack of lymphatic drainage – especially when the crow’s feet are also injected with anti-wrinkle injections at the same time.


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