Perioral & Vermilion Anatomy • Pre & Post-Care Guide

Lip Proportion & Hydration: Day-by-Day Swelling & Integration Guide

Understanding how vascular lip tissue responds over the 14-day integration window, from pre-visit preparation to your 2-week clinical review.

Pre-Visit & 14-Day Post-Procedure Timeline

48 Hours Before

Hydration & Bruise-Minimisation Prep

Drink plenty of water, avoid alcohol and non-essential blood-thinning supplements (fish oil, high-dose vitamin E, ibuprofen) for 48 hours, and take prophylactic antiviral medication if you have a history of cold sores (HSV-1).

Days 1 to 3 After

Peak Vascular Swelling Phase

Morning swelling is strongest on Day 1 and Day 2. The upper lip often swells slightly more than the lower lip, and small pinpoint bruises or firmness are normal.

Days 5 to 14 After

Mucosal Softening & Final Proportion

Between Days 5 and 10, swelling resolves by 80-90% and the tissue becomes soft, hydrated, and supple. Final symmetry is reviewed at Day 14.

Anatomical Proportions Assessed

  • 1:1.6 upper-to-lower lip vertical golden ratio
  • Cupid’s bow definition and philtral column balance
  • Preservation of the natural white roll without anterior "duck" projection

Essential Post-Care Guidelines

  • Avoid hot drinks, spicy food, alcohol, saunas, and strenuous workouts for 24 to 48 hours.
  • Do not apply lipstick/lip gloss for 24 hours; use only clean, sterile balm recommended by your clinician.
  • Do not press, bite, or massage your lips while they are integrating.

Frequently Asked Questions

If I am prone to cold sores, what should I do before a lip appointment?

Any needle or cannula stimulation around the vermilion border can reactivate dormant herpes simplex virus (HSV-1). Please inform your clinician prior to your appointment so prophylactic oral antiviral tablets can be arranged.