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Risk of Death from Injectable Fillers Due to Embolism?

asked 2 years ago by wonderingabout... in Portland, OR
Latest answer by Eric M. Joseph, MD
Question viewed 886 times
Tags: face, complication, smile lines, veins

I am really interested in getting an injectable filler such as Juvederm, but am paranoid as to the risks involved. Today, I just read online that if the doctor accidentally injects into a vein, then this could kill you--caused by an embolism. How can the doctor tell where to inject in the face (smile lines in particular), so they are sure they won't inject into a vein? Would be greatly appreciated!

5 answers to Risk of Death from Injectable Fillers Due to Embolism?

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Injectable Fillers are extremely safe when used by experienced physicians.

My favorite Injectable Filler is Silikon-1000 (Off-label application of an FDA-approved device) since it is extremely safe, and complications are rare in my hands. With Juvederm, the most common problems you might experience are bumps, irregular texture, overcorrection, visible product, or allergic reaction (uncommon). I have not heard of pulmonary embolism as a complication associated with Juvederm Injections. I've attached a link to my Silikon-1000 photos for your perusal. I hope this is... more
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Risk of death from injectable fillers due to embolism?

To answer your question, the risk is so low that if the injections are preformed by a qualified MD there should be no issue. With that being said, can the risk of an embolism occur with injectables? As we are taught in residency training and medical school, "Never say never!" The rule of thumb is to have a qualified MD (A boarded Plastic surgeon or Dermatologist). Slow injection and withdrawal techniques. A good medical history, especially if use of blood thinners or poor... more
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Embolism may be possible but is rare

Embolism generally occurs only when product is forcibly driven into a vein. Injection technique minimizes this possibility by injecting only when withdrawing the needle. lIn most instances the risk of this is exceptionally rare and if it occurs, tends to involve the veins around the orbit. All procedures including injections involve risk and it is wise that you are wary. However the risk of this is realtively low.
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Risk of death from injectable fillers due to embolism?

True -IF you form clots in the deep veins of the pelvis or legs (DVT) and IF such clots detach and go through your heart to your longs (Pulmonary Embolus) - you MAY die. but this may only be seen in people with clotting disoders, those with conditions which make them more apt to clot or in a combination of the two. True - injection of Collagen/Restylane/ Juvederm etc into a small vein under the skin on the high bridge of the nose where the brows and nasal bridge meet (the Glabella) MAY... more
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FDA approved Fillers are safe if used properly

All current FDA approved fillers as safe if used and injected properly. The key to good results in the use of fillers is to find a Plastic Surgeon who does his own filler injections and who is knowledgeable about which filler works the best for which area. For instance, I use Juvederm preferentially over Restylane for the lips as it is smoother and softer . On the other hand, I prefer Restylane for correction of the tear trough area around the eyes as it can last well over one year. I... more

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