What Not to Do After Lip Fillers: The First 48 Hours, Week 1 and Warning Signs
Start with our pillar guide: Dermal Fillers for Ozempic Face: What the Evidence Shows (and Doesn't), or browse all Aesthetic Treatments articles.
What not to do after lip fillers comes mostly from clinic advice. For the first 24 to 48 hours, sources commonly list no alcohol, NSAIDs, hard workouts, heat, lip massage, straws or lip products, then 1 to 4 weeks for swelling to settle. No trial has tested these rules, so the warning signs matter more. Evidence: Limited.
Key takeaways
- The Juvéderm Volbella XC patient label asks you to minimize strenuous exercise and extensive sun or heat in the first 24 hours (Allergan/AbbVie label, 2023). Alcohol, NSAID, sauna and massage limits of 24–48 hours come from Cleveland Clinic and the American Society of Plastic Surgeons (ASPS) (ASPS, 2025).
- Cleveland Clinic contradicts itself on straws, kissing and lip balm: a 2021 page says avoid them for at least 24 hours, and a 2024 article by a staff dermatologist says there are no restrictions.
- A 2021 meta-analysis of 1,496 participants found tenderness in 88.8%, swelling in 74.3% and bruising in 39.5% after hyaluronic acid lip filler (Czumbel et al., 2021).
- The FDA lists unusual pain, vision changes, white, gray or blue skin near the injection site, and stroke signs as reasons to seek immediate care (FDA).
- Lip filler can swell again months later after illness, vaccination or dental work, per the FDA. A 2024 consensus puts most late reactions at 3–4 months (Baranska-Rybak et al., 2024).
Lip filler usually means hyaluronic acid (HA) gel, a water-holding sugar molecule injected to add volume. FDA-approved fillers are for adults 22 and older, and lip augmentation is an approved use for specific products (FDA). The FDA's consumer tips say to use a licensed, experienced provider and to read the product's patient labeling (FDA consumer update).
If you're weighing filler because of volume loss on a GLP-1 medication, our guide to filler evidence for GLP-1 facial volume loss covers that question separately. This article sorts what to avoid after lip filler into what the label and FDA say, what clinics add, and what trials measured.
What not to do after lip fillers: which rules apply in the first 48 hours?
For the first 24 to 48 hours, the common list is no alcohol, aspirin or NSAIDs, strenuous exercise, heat, lip massage, smoking, straws and lip products. Only exercise and sun or heat appear as timed rules on the product label; the rest is clinic advice, and no trial compares outcomes by aftercare rule.
| Rule | Why | How long (range across sources) | Evidence label |
|---|---|---|---|
| No alcohol | Alcohol thins your blood and can worsen lip bruising (Cleveland Clinic, 2021) | At least 24 h (Cleveland Clinic) to 24–48 h "if possible" (ASPS); label and FDA silent | Limited (clinic advice; no trial) |
| No aspirin or NSAIDs such as ibuprofen | More bruising and bleeding (label, ASPS) | 24–48 h after (ASPS); acetaminophen preferred for pain (Cleveland Clinic, 2024) | Limited (clinic advice; no trial) |
| No strenuous exercise | To lower the risk of bruising and swelling (ASPS) | 24 h (label, ASPS, Cleveland Clinic 2021) to several days (Cleveland Clinic 2024) | Limited (label instruction; no trial) |
| No sauna, extensive sun or heat | To lower the risk of swelling (ASPS) | 24 h (label) to 24–48 h for sauna-type heat (ASPS) | Limited (label instruction; no trial) |
| No massage, poking or prodding | Possible filler migration (ASPS) | 24–48 h (ASPS); later massage only if your injector instructs it | Limited (clinic advice; no trial) |
| No straws, puckering or kissing | Cleveland Clinic 2021 groups these with touching the lips | No limit (Cleveland Clinic 2024) to at least 24 h (Cleveland Clinic 2021); some injectors say 24–48 h | Mixed / contested (no trial) |
| No lipstick, lip balm or lip products | Not explained; ASPS flags irritating "active" ingredients | No limit on balm (2024) to at least 24 h (2021); label: ask when makeup is OK | Mixed / contested (no trial) |
| No smoking | Not explained in our sources | At least 24 h (Cleveland Clinic 2021); ASPS gives no time | Limited (clinic advice; no trial) |
| Sleep on your back | Depends on filler location (ASPS) | No time given | Limited (clinic advice; no trial) |
The reasons cluster into 3 groups. Bruising drives the alcohol and NSAID rules, migration drives the massage rule, and swelling sits behind several others: ASPS quotes a surgeon who says HA filler is hydrophilic (water-attracting), so trauma, nearby procedures, extra salt or flying at high altitude can cause temporary swelling. The Volbella label also asks you to tell your doctor before treatment if you take aspirin, NSAIDs or blood thinners. If you take any of these for a medical condition, any change is a decision for your prescriber.
Should you massage lumps after lip filler?
Only if your injector tells you to. Lumps and bumps were reported by 88% of 168 people in the US Volbella lip study diary, and most side effects resolved within 30 days (Allergan/AbbVie label, 2023). A recurring reader question is whether to press out a lump noticed around day 5; ASPS advises against aggressively massaging, poking or prodding, and we found no study supporting self-massage. Evidence: Limited. Every rule in this table is untested.
What not to do after lip fillers day by day: how long does each rule last?
Most timed rules end at 24 or 48 hours, swelling settles over 1 to 4 weeks depending on the source, and a small risk of delayed swelling lasts for months. The timeline puts the Cleveland Clinic and ASPS ranges side by side.
Lip filler aftercare timeline (Cleveland Clinic vs ASPS)
- 0 to 24 hoursStrictest window
Label: minimize strenuous exercise and extensive sun or heat (label). Cleveland Clinic 2021: ice up to 10 minutes; no lip products, straws, smoking, alcohol or exercise for at least 24 hours; pain usually gone after 12 to 24 hours (Cleveland Clinic). ASPS: ice during the first 24 hours.
- 24 to 48 hoursASPS window ends
ASPS keeps NSAIDs, alcohol 'if possible', sauna-type heat and massage off the list until 48 hours (ASPS). Cleveland Clinic 2021: swelling usually goes away after 24 to 48 hours. Cleveland Clinic 2024: avoid vigorous exercise for several days.
- Day 3Mostly back to normal
ASPS: generally looking back to normal by 3 days. ASPS also says there's no need to delay dental work beyond a few days; Cleveland Clinic 2024 suggests 2 weeks.
- Week 1Swelling fades
Cleveland Clinic 2021: swelling may take up to a week. In a 176-person trial, redness and swelling mostly resolved within about 1 week (Wang T et al., 2025).
- Weeks 2 to 3Settled
ASPS: up to 3 weeks to fully settle. Cleveland Clinic 2024: about 2 to 4 weeks (Cleveland Clinic). Cleveland Clinic 2021: follow-up at about 2 weeks; book at least 2 weeks before a big event. Label: most side effects lasted 2 weeks or less.
- Months laterDelayed swelling
Late-onset reactions usually appear 3 to 4 months after injection (consensus, 2024). Swelling can follow illness, vaccination or dental procedures (FDA). Contact your injector if it happens.
The "Months later" step doesn't mean something went wrong at your appointment. The filler stays in the tissue and can react to things that happen afterward. Evidence: Limited. Timing beyond the label's 24 hours is clinic advice.
Can you drink alcohol after lip filler?
Cleveland Clinic says to avoid alcohol for at least 24 hours, and ASPS says to avoid it "if possible" for 24 to 48 hours. Neither the FDA nor the Volbella label mentions alcohol.
Cleveland Clinic's reason is that "alcohol thins your blood, which can make bruising on your lips worse" (Cleveland Clinic, 2021). ASPS groups alcohol with aspirin and NSAIDs for the same bruising reason (ASPS, 2025). The rationale is plausible, but no trial has compared bruising in people who did and didn't drink.
Bruising is already common without alcohol: 89% of 168 people in the Volbella diary reported it (Allergan/AbbVie label, 2023). A frequent reader question is about a drink the night of treatment, and the honest answer is that the sources set a 24–48 hour window on reasoning, not data. Evidence: Limited. Clinic advice with a plausible bleeding rationale.
When can you work out after lip filler?
The label, ASPS and Cleveland Clinic's 2021 page all set at least 24 hours for strenuous exercise. A Cleveland Clinic dermatologist writing in 2024 suggests avoiding vigorous exercise for several days (Cleveland Clinic, 2024).
Many readers ask whether the gym is fine the next day. On the label alone, the 24-hour window would have passed; the "several days" guidance is more conservative. Heat follows a similar pattern: the label says 24 hours of minimal sun or heat, and ASPS extends sauna-type heat to 24–48 hours. No trial has compared any of these intervals. Evidence: Limited. Label instruction, untested.
Can you kiss, use a straw or pucker after lip filler?
Cleveland Clinic's 2021 page says to avoid touching or puckering, including kissing and sipping from a straw, and to avoid straws for at least 24 hours. Its 2024 article says there are "no restrictions on using lip balm, eating, drinking, using a straw or kissing."
So how long after lip filler can you use a straw? The answer ranges from right away to at least 24 hours within the same institution, and some injectors still ask for 24–48 hours without pressure on the lips. The Volbella label doesn't mention straws or kissing (Allergan/AbbVie label, 2023). The 2021 page also suggests waiting to eat until numbing wears off, avoiding messy foods for 24 hours and brushing teeth carefully (Cleveland Clinic, 2021).
Both positions are opinion. Your injector knows the product and technique they used, so their instruction is the one to follow. Evidence: Mixed / contested. Expert sources disagree; no trial.
How should you sleep after lip filler?
ASPS says back sleeping is "best," depending on where your filler was placed (ASPS, 2025). No study tests sleeping position after lip filler.
Readers often ask whether they can sleep on their side or lie down at all. None of our sources restricts lying down; the back-sleeping advice rests on the same pressure concern as the massage rule, and ASPS gives no duration. The label and FDA materials don't cover sleep. Evidence: Limited. Single-source clinic advice.
When can you wear lipstick, lip balm or makeup after lip filler?
Cleveland Clinic's 2021 page says no lipstick, lip balm or other lip product for at least 24 hours, while its 2024 article allows lip balm. The Volbella label says to ask your doctor when makeup can be applied.
So can you wear makeup after lip filler? The label defers to your injector, and ASPS adds that skincare and makeup with irritating "active" ingredients should wait (ASPS, 2025). If your lips feel dry while you skip lipstick, our explainer on how the skin barrier and occlusives work covers plain balms, and our skincare routine order guide covers a gentle face routine. Evidence: Mixed / contested. Sources disagree; no trial.
When can you restart retinol, acids or facials after lip filler?
ASPS advises avoiding irritating active skincare and other procedures such as laser, microneedling and microdermabrasion early on, but no source we have gives a number of days. No study has tested retinoid or acid timing after lip filler.
The same gap exists for toxin injections; our article on skincare after Botox walks through it. Our piece on tretinoin after Botox shows how thin the timing evidence is even there. The Volbella label asks you to tell your doctor if you plan a laser treatment or chemical peel afterward because of a possible inflammatory reaction. If you're planning needling, our guide to skincare after microneedling covers that procedure's own aftercare. Evidence: Limited. Convention; no timing data.
What not to do after a lip flip?
A lip flip uses botulinum toxin, not filler, so filler rules don't map onto it. None of our sources covers lip-flip aftercare specifically, and no study we found tests it; see skincare after Botox for the toxin evidence.
What is normal swelling and bruising, and how long does it last?
Tenderness, swelling and bruising are the norm: a 2021 meta-analysis of 1,496 participants found rates of 88.8%, 74.3% and 39.5% (Czumbel et al., 2021). Most swelling eases within a few days to a week and settles over about 2 to 3 weeks, based on Cleveland Clinic and ASPS guidance. For the stage-by-stage timeline, why swelling can look uneven or lumpy, and how often each study saw it, see our guide to lip filler swelling stages. Evidence: Limited.
What are the warning signs you should call your injector about right away?
The FDA says to seek immediate care for unusual pain, vision changes, white, gray or blue skin near the injection site, or signs of stroke. A Cleveland Clinic dermatologist says to contact your injector right away for extreme pain, paleness or purple discoloration (Cleveland Clinic, 2024).
These signs point to vascular occlusion, when filler blocks a blood vessel, which can cause skin death (necrosis), blindness or stroke; the FDA calls the chances low (FDA consumer update). In a retrospective survey of 370 dermatologists covering 1.7 million syringes, occlusion never exceeded 1 per 5,000 syringes, and lips and nasolabial folds were the sites most likely to be occluded (Alam et al., 2021). Rates were 1 per 6,410 with needles vs 1 per 40,882 with cannulas, and 85% of occlusions left no long-term effects.
Lip arteries vary greatly in path, presence and location, which is why lip injections need caution (Samizadeh et al., 2019). Vision loss after lip filler is rare: a 2025 American Academy of Ophthalmology report of 198 cases found the lip in just 1 of 226 described injection sites (Foster et al., 2025). Rare isn't zero, so color changes and severe pain shouldn't wait. Evidence: Limited. FDA guidance and practitioner-reported data.
Can lip filler swell up again weeks or months later?
Yes, though it's uncommon. The FDA says side effects "may emerge weeks, months, or years later," including inflammation near the site after viral or bacterial illness, vaccination or dental procedures.
The Volbella label reports delayed-onset lumps or swelling in 7 subjects and delayed inflammation after illness, vaccines and dental procedures. A systematic review put delayed inflammatory reactions at about 1.1% per year in prospective studies, and possible delayed hypersensitivity at 0.06% per year (Chung et al., 2020). One review says these reactions "tend to occur when patients experience flu-like illnesses" (Lee et al., 2024).
A 2024 consensus says late-onset reactions usually appear 3–4 months after injection, occasionally as early as 24 hours, with recent dental treatment, current medical status and active autoimmune disease as risk factors (Baranska-Rybak et al., 2024). It recommends hyaluronidase, an enzyme that dissolves HA, for noninflammatory reactions without active infection; its panel members consult for Teoxane, a filler maker. ASPS adds that a future facial infection could involve the filler.
Dental timing is contested: a Cleveland Clinic dermatologist suggests avoiding dental work 2 weeks before and after, while ASPS sees no need to wait beyond a few days. Case reports add vaccine and medication triggers. Three people developed filler swelling after an mRNA COVID booster, 2 of them with lip filler 1–2 years earlier, and one had angioedema treated with oral cortisone (Calvisi, 2022).
Another case report described facial swelling about 3 months after lip and under-eye filler that appeared or worsened after the patient started Ozempic and resolved with hyaluronidase (de Oliveira Ciaramicolo et al., 2024). One case can't show cause, and any decision about a GLP-1 medication belongs with your prescriber; our dermal fillers for Ozempic face guide covers that overlap. Evidence: Limited. Reviews, consensus and case reports.
Does lip filler trigger cold sores?
It can. Cleveland Clinic lists cold sore reactivation as a lip filler risk, and the 2021 meta-analysis found herpes labialis in 0.6% of participants (Czumbel et al., 2021).
A case report described herpes simplex reactivation in a 24-year-old after nose filler, treated with acyclovir (Wang C et al., 2020). Telling your injector about a cold sore history is clinic convention, and some clinicians give antivirals; no study in our sources sets criteria for when.
One observational study of 90 people with recurrent cold sores found no change after a first filler session and lower recurrence after the 2nd (IRR 0.81) and 4th (IRR 0.55) sessions (Armenti, 2026). An IRR (incidence rate ratio) below 1 means fewer flares, but this design can't show that filler prevents cold sores. Evidence: Limited. Meta-analysis rate plus case and observational data.
Where the evidence stops
- No trial tests aftercare rules. We found no study comparing outcomes with and without alcohol, exercise, heat, straws, kissing, lip products, flying or back sleeping.
- The safety literature is thin. A 2021 review calls it "lacking," citing scarce prospective RCTs and underreported complications (Safran et al., 2021).
- Sources conflict. Cleveland Clinic's 2021 and 2024 pages disagree on straws, kissing and lip balm; dental timing ranges from a few days to 2 weeks; settling ranges from 1 to 4 weeks.
- Retinoid timing has no data. ASPS says to skip irritating actives early on but gives no interval.
- Complication frameworks are expert opinion. Consensus panels classify reactions as early (vascular, inflammatory) or late (nodules, granulomas, discoloration) and say most are mild and transient (Signorini et al., 2016; Urdiales-Gálvez et al., 2018). Our warning-sign list is limited to what the FDA and Cleveland Clinic name.
- Industry ties are common. Two Volbella trials were Allergan-funded, and the late-reaction consensus panel consults for Teoxane.
FAQ
How long after lip filler can I drink alcohol?
Cleveland Clinic's lip filler page says to avoid alcohol for at least 24 hours because it thins the blood and can make lip bruising worse. The American Society of Plastic Surgeons (ASPS) suggests avoiding it, if possible, for 24 to 48 hours. The product label and the FDA don't mention alcohol, and no trial has tested any waiting period.
Can I sleep on my side after lip filler?
ASPS says back sleeping is best, depending on where your filler was placed. No study has compared sleeping positions after lip filler, so this is clinic advice, and your injector's instructions are the ones to follow.
When can I use a straw after lip filler?
Cleveland Clinic's 2021 lip filler page says to avoid straws for at least 24 hours, while a Cleveland Clinic dermatologist writing in 2024 says there are no restrictions on straws or kissing. Some injectors ask patients to avoid puckering for 24 to 48 hours. No study has compared outcomes.
Can I wear lipstick or lip balm after lip filler?
Cleveland Clinic's 2021 page says no lipstick, lip balm or other lip products for at least 24 hours, while its 2024 aftercare article says there is no restriction on lip balm. The Volbella XC label says to ask your doctor when makeup can be applied.
Can I take ibuprofen after lip filler?
ASPS advises avoiding aspirin and NSAIDs such as ibuprofen for 24 to 48 hours after filler because they can increase bruising, and a Cleveland Clinic dermatologist suggests acetaminophen for pain instead. If you take an NSAID or a blood thinner for a medical condition, any change is a decision for your prescriber.
When can I go to the dentist after lip filler?
The sources disagree. A Cleveland Clinic dermatologist suggests avoiding dental work for 2 weeks before and after lip filler, while ASPS says there is no need to wait beyond a few days. The FDA lists dental procedures among triggers for later swelling, so tell your dentist and injector about the timing.
Why are my lips swelling again weeks later?
The FDA says inflammation at the filler site can follow viral or bacterial illness, vaccination or dental procedures, sometimes weeks, months or years later. A 2024 expert consensus says late-onset reactions to hyaluronic acid filler usually appear 3 to 4 months after injection. Contact your injector if it happens.
Can I get a cold sore after lip filler?
Yes, Cleveland Clinic lists cold sore reactivation as a lip filler risk, and a 2021 meta-analysis found herpes labialis in 0.6% of participants. Telling your injector about a cold sore history is clinic convention, and some clinicians give antivirals.
When can I restart retinol after lip filler?
ASPS advises skipping skincare with irritating active ingredients early on, but none of our sources gives a specific number of days. No study has tested retinoid timing after lip filler, so ask your injector.
References
- U.S. Food and Drug Administration. Dermal Fillers (Soft Tissue Fillers). U.S. FDA. Undated consumer page. Regulatory patient guidance; not a study. https://www.fda.gov/medical-devices/aesthetic-cosmetic-devices/dermal-fillers-soft-tissue-fillers
- U.S. Food and Drug Administration. Dermal Filler Do's and Don'ts for Wrinkles, Lips and More. U.S. FDA Consumer Updates. Undated. Regulatory patient guidance; not a study. https://www.fda.gov/consumers/consumer-updates/dermal-filler-dos-and-donts-wrinkles-lips-and-more
- Allergan/AbbVie. Juvéderm Volbella XC patient labeling (lip and perioral). AbbVie. 2023. Manufacturer labeling; US lip study 30-day diary, n=168. https://www.rxabbvie.com/pdf/juvederm-volbella_lp_aug_pr_ln_pt_lb.pdf
- Cleveland Clinic (Murray T, dermatologist). Lip filler aftercare. Cleveland Clinic Health Essentials. 2024. Patient guidance; not a study. https://health.clevelandclinic.org/lip-filler-aftercare
- Cleveland Clinic. Lip Fillers. Cleveland Clinic. 2021 (medically reviewed, last updated 12/01/2021). Patient guidance; older page; not a study. https://my.clevelandclinic.org/health/treatments/22133-lip-fillers
- Willson A (quoting Bajaj A, Hamilton K). What not to do after getting facial filler. American Society of Plastic Surgeons. 2025. Patient guidance; not a study. https://www.plasticsurgery.org/news/articles/what-not-to-do-after-getting-facial-filler
- Czumbel LM, et al. Hyaluronic Acid Is an Effective Dermal Filler for Lip Augmentation: A Meta-Analysis. Front Surg. 2021. Meta-analysis, 1,496 participants for adverse-event rates; authors declare no commercial conflicts. https://pubmed.ncbi.nlm.nih.gov/34422892/
- Wang T, et al. Safety and Efficacy of a New Hyaluronic Acid Filler for Lip Augmentation: A Prospective, Multicenter, Randomized, Controlled Study. Aesthet Surg J Open Forum. 2025. Prospective multicenter RCT, n=176; funding not reported in the abstract. https://pubmed.ncbi.nlm.nih.gov/41415899/
- Alam M, et al. Rates of Vascular Occlusion Associated With Using Needles vs Cannulas for Filler Injection. JAMA Dermatol. 2021. Retrospective survey, 370 dermatologists, 1.7 million syringes. https://pubmed.ncbi.nlm.nih.gov/33377939/
- Samizadeh S, et al. Anatomical Variations in the Course of Labial Arteries: A Literature Review. Aesthet Surg J. 2019. Literature review. https://pubmed.ncbi.nlm.nih.gov/30204834/
- Foster J, et al. Vision-Threatening Complications of Soft Tissue Fillers: A Report by the American Academy of Ophthalmology. Ophthalmology. 2025. Review of 19 studies, 198 cases. https://pubmed.ncbi.nlm.nih.gov/40167411/
- Baranska-Rybak W, et al. Late-Onset Reactions after Hyaluronic Acid Dermal Fillers: A Consensus Recommendation on Etiology, Prevention and Management. Dermatol Ther (Heidelb). 2024. Consensus statement; panel members are Teoxane consultants. https://pubmed.ncbi.nlm.nih.gov/38907876/
- Chung KL, et al. A Systematic Review of the Literature of Delayed Inflammatory Reactions After Hyaluronic Acid Filler Injection to Estimate the Incidence of Delayed Type Hypersensitivity Reaction. Aesthet Surg J. 2020. Systematic review. https://pubmed.ncbi.nlm.nih.gov/31410442/
- Lee W, et al. Etiology of Delayed Inflammatory Reaction Induced by Hyaluronic Acid Filler. Arch Plast Surg. 2024. Review; expert opinion. https://pubmed.ncbi.nlm.nih.gov/38425859/
- Calvisi L. Hyaluronic acid delayed inflammatory reaction after third dose of SARS-CoV-2 vaccine. J Cosmet Dermatol. 2022. Case reports, n=3. https://pubmed.ncbi.nlm.nih.gov/35384252/
- de Oliveira Ciaramicolo N, et al. Late Facial Edema After Lip Filling With Hyaluronic Acid: Possible Association With the Use of Ozempic. J Craniofac Surg. 2024. Case report, n=1. https://pubmed.ncbi.nlm.nih.gov/39190785/
- Wang C, et al. Herpes reactivation after the injection of hyaluronic acid dermal filler: A case report and review of literature. Medicine (Baltimore). 2020. Case report, n=1. https://pubmed.ncbi.nlm.nih.gov/32541459/
- Armenti AF. The Association Between Repeated Lip Augmentation With Hyaluronic Acid Filler and Recurrence of Herpes Labialis: A Longitudinal Self-controlled Study. Aesthet Surg J Open Forum. 2026. Self-controlled observational study, n=90; causality not established. https://pubmed.ncbi.nlm.nih.gov/42111692/
- Safran T, et al. Evaluating safety in hyaluronic acid lip injections. Expert Opin Drug Saf. 2021. Narrative review. https://pubmed.ncbi.nlm.nih.gov/34328377/
- Signorini M, et al. Global Aesthetics Consensus: Avoidance and Management of Complications from Hyaluronic Acid Fillers-Evidence- and Opinion-Based Review and Consensus Recommendations. Plast Reconstr Surg. 2016. Expert consensus. https://pubmed.ncbi.nlm.nih.gov/27219265/
- Urdiales-Gálvez F, et al. Treatment of Soft Tissue Filler Complications: Expert Consensus Recommendations. Aesthetic Plast Surg. 2018. Expert consensus. https://pubmed.ncbi.nlm.nih.gov/29305643/
Disclosure: This article is for general information only. It is not medical advice. Peptide Skincare has no affiliate links in this article and received no payment from any manufacturer mentioned. Follow your injector's instructions, and contact your injector or seek urgent care for the warning signs above.