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Should I Expect Purple Lip After Hyaluronidaze Injection?

asked 7 months ago by Mary in Pacifica in Pacifica, CA
Latest answer by Timothy Jochen, MD
Question viewed 196 times
Tags: bruising, necrosis, normal, purple, worried

I had Juvederm for the 20th time today. No problems in the past. But today the lower lip turned white, then dark with poor refill after blanching, so hyaluronidaze was administered. Color improved immediately, but then purple returned after 30 mins. I went to the ER, but they said it was just a bruise, and barely examined me. Still purple tonight and I'm scared of necrosis. Suggestions?

6 answers to Should I Expect Purple Lip After Hyaluronidaze Injection?

+1

Should I Expect Purple Lip After Hyaluronidaze Injection?

I will re-post this response since this question seems to come up about using fillers in the body, of the lips and the Glabellar areas. I know that there are MD's out there that do inject fillers into the Glabella and the body of the lips however, the facts are and have been established for at least 15 years that fillers placed in either, of these two areas, can and does cause collapse of the thin walled vein leading to loss of tissue and tissue death. In the case, of the... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Purple lip following Juvéderm and hyaluronidase injections

It sounds like the Juvéderm got into your blood vessels. This can lead to necrosis of the lip. However, since you had hyaluronidase injected almost immediately after the filler, this should prevent necrosis from occurring. The duration and extent will determine whether you will have blockage or not. Other things that may help the situation include taking aspirin, using topical Nitropaste, which will increase the blood flow, massaging the affected area, placing... more
Timothy Jochen, MD

Palm Springs Dermatologic Surgeon
+1

Should I Expect Purple Lip After Hyaluronidaze Injection?

Use of warm NOT hot compresses, nitro paste, even leeches can help in your treatment. But this should be done by the injector.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Purple Lip After Hyalunonidase Injection

It sounds as if your injector inadvertently injected Juvederm into a blood vessel and acted appropriately to remedy the situation. I agree that it is now difficult to determine whether or not you have a bruise from all the trauma to your lip or whether you will have some necrosis. Please return to your injector to be evaluated properly.
Sheri G. Feldman, MD

Beverly Hills Dermatologist
+1

Purple lip after hyaluronidase

I would recommend you see the provider that injected your lips ASAP. I would not expect an ER physician to know as much about filler complications as the person (hopefully a qualified physician) responsible for the injection.
Michelle Spring, MD

Marina Del Rey Plastic Surgeon
+1

Fillers

It sounds that you had an intraarterial injection of the filler. The doctor who injected you should have initiated the immedite treatment, not go to the emergency room?????? See your Doctor or a board certified plastic surgeon (American Board of Plastic Surgery) they should be able to make a diagnosis and recommend a vasodialator, and hope for the best.
Samir Shureih, MD

Baltimore Plastic Surgeon

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