What's the difference between necrosis and hematoma after Juvederm lip injections?
How do you know if you have recieved a hematoma vs necrosis immediately after a juvederm plus injection in the lip. There was very little Juve injected (aprox 0.2 ml) in center of one side top lip and immediate purple and black filled sack formed underneath injection site, very swollen and dark in color. The pain subsided within a couple hours. Anti-inflamatories and ice were applied immediately, but after couple hours we changed to nitropaste and warm compress due to the darkness of the swollen sack on underside of top lip just below injection site.
ANY ADVICE would be greatly appreciated!
Answers (1)
Black and blue sounds like a bruise, white would be impending necrosis
It sounds to me like you got a bruise. If the needle cuts a small blood vessel, it will bleed under the skin causing the swelling and dark discoloration. This almost always resolves with no treatment.
If the area being injected turned white or became very pale, that is usually from injecting some of the filler inside a small blood vessel, which is quite rare. The filler cuts off the blood supply, which causes the tissue to become pale or white. If that happens you can get some tissue necrosis which will take a while (at least a few months) to heal.
Nitropaste, Hyaluronidase and warm compresses are the usual treatments for this problem. Severe cases can be treated with hyperbaric oxygen therapy.
Check out more Q+A about Juvederm
Is Juvederm better than Restylane?
Answered by Lawrence D. Broder, MD, Austin Doctor
Read all 54 answers
How much does Juvederm cost?
Answered by Vladimir Grigoryants, MD, Los Angeles Plastic Surgeon
Read all 15 answers
How long does Juvederm typically last?
Answered by Kenneth R. Francis, MD, New York City Plastic Surgeon
Read all 11 answers
Write a comment