Fast facts

Perlane

What it is: Perlane is an injectable dermal filler composed of hyaluronic acid.  Perlane is used by doctors to restore facial volume and correct various signs of aging.  Perlane is similar to Restylane, but  it has a slightly different chemical composition with larger gel particles for the purpose of deeper injection and correction.

What it addresses:  Moderate to severe facial conditions including:

- Facial wrinkles
- Sunken cheeks
- Nasolabial folds
- Cheek augmentation

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Percent of consumer reviews saying "Yes":

86% Tummy tuck
83% Invisalign
83% Blepharoplasty
81% Smart Lipo
80% Silicone breast implants
79% Photofacial
78% Facelift
78% VASER Liposelection
78% Lasik
75% Laser resurfacing
74% Rhinoplasty
74% Botox
72% Permanent makeup
70% Liposuction
69% Pixel laser
67% Active FX
67% Microdermabrasion
66% Chemical peel
63% Juvederm
61% Restylane
58% Sculptra
53% IPL
52% Radiesse
51% Fraxel Laser
50% Mesotherapy
48% Accent XL
44% Zoom teeth whitening
41% Lifestyle lift
37% Thermage
37% Lipodissolve

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Question

I have had my lips done many times, but never used a full syringe. Now my lips are swelling!

I used 1/2 of syringe of Perlane yesterday (used Restylane before) and immediately swelled up. Yet the swelling got a lot worse as the time passed. Now it's the next day and I am really freaking out; my lip is so swollen and can hardly talk and it's almost touching my nose! When will this go down? I have to work tomorrow, and I work at a MedSpa. I can't look like this! Is there anything I can take besides Ibuprofren to make this swelling go down quicker? PLEASE HELP!

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Asked by: Misstique
Pembroke Pines, Fl

Answers (1)

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1
October 27, 2008

Please see your Physician

Kamran Jafri, MD
Kamran Jafri, MD
Board Certified
Facial Plastic Surgeon

Hello Misstique,

Sorry to hear that your lip injections are causing you such grief and discomfort.

First you should be seen by the Physician / RN who injected you - even though you have had Restylane before given the amount of swelling it is important to make sure you are not having a reaction to Perlane. I am hoping you didn't inject yourself - if so please call and see a board certified Plastic Surgeon / Derm nearby you!!

Also need to make sure that there is no hematoma (collection of blood). While pretty rare during lip injections it could occur with deeper injections. The ibuprofen would only make this worse.

Most likely you have experienced a combination of normal post-injection swelling and overinjection of Perlane.

The swelling can be helped by icing, ibuprofen (please see above regarding hematomas), head elevation, benadryl and bromelain.

Overinjection of Perlane can be helped by time, injection of hyulronidase or needle extraction of the product.

Good luck to you!

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