The swelling in the lips usually takes a while to go down after Lip Augmentation (lip filler, lip enhancement, lip plumper, younger lips, lip injectibles) with Facial Fillers. Your lips are very vascular and with that comes easier bruising and swelling. 3-4 days is on the early side. I usually wait for the first 2 weeks for the swelling to go down. During these first 2 weeks is when massage can really help dissipate the swelling. Enzyme injections are also another way of removing restylane, juvederm, perlane but they are more of a permanent removal of the restylane. If enzymes are injected during the first 2 weeks, this may be a mistake. The swelling that would normally go down the first 2 weeks will further go down more if enzymes are injected the first 2 weeks. Sometimes waiting at least 3 weeks is even better. One thing to remember is that restylane and other hyaluronic acid fillers can be shaped though and you shouldn’t have to go through 6-9 months of a less than desirable result. Enzyme’s can help shape your results after 2-3 weeks. Notice how in the example that the lower lip in the after maintains the size that is 2 times greater than the upper lip. From the viewer standpoint, it doesn’t look wierd to them.
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Dr Young specializes in Facial Cosmetic and Reconstructive Surgery and is located in Bellevue near Seattle, Washington

Before Restylane Injections / Lip augmentation

After Restylane Injections / Lip augmentation

Apparently there is a log of buzz regarding Stephanie Pratt’s Plastic Surgery. I personally think she looks great. Based on the pictures I think that she might have had some refinement of her nose which looks very well done. She also might have had some lip enhancement with injectible fillers (restylane / juverderm / perlane / cosmoderm / collagen). Whoever did her lip injections did well. Many hollywood stars are getting their lips changed in a way that doesn’t enhance their looks in my opinion. You can see my theory on facial beauty at this link: http://www.drphilipyoung.com/pdf/circles_of_prominence.pdf. This can be found on my website: http://www.drphilipyoung.com/harmony.html. Most stars get their lips enlarged so that the upper lip is close to the size of the lower lip. If you take a look at someone next to you, what you will notice is that most of the light is directed at the lower lip. Hence the most attention shouldbe on the lower lip. This can be seen in Stephanie’s photos as well. You never want to make the upper lip the same size as the lower lip. The attention is taken away from the lower lip and ends up breaking up the balance in the mouth region. The upper lip should be half the size of the upper lip at most. The highlight of the puckering should be no more than 3 iris widths (the colored portion of the eye) otherwise the viewers mind will interpret the lip as being too big.