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What will happen to vein occlusion due to Radiesse nose injection?

I had Radiesse nose injection 5 days ago and right after injection, my forehead has a swollen long narrow shape from mid of eyebrow going vertical up to mid forehead (No radiesse was injected to forehead).Doc said it's vein occlusion. 2nd day post-op, swollen worm shape on forehead turns yellow bruise color, but 3rd day yellow color is almost gone. 5th day post-op, swollen worm shape on forehead turns yellow again. Can vein occlusion causes skin necrosis/scar?what are symptoms? Doc asked me to do warm compresses, 1 325mg Aspirin/day, and Arnica. What else should I do? The swollen vein on forehead is still swollen, what will happen if this vein is blocked for weeks? Thanks for your help!

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9 Doctor Answers | Asked by Margaret2000

Doctor Answers (9)
Community Comments (1)

What will happen to vein occlusion due to Radiesse nose injection?

This will most likely resolve on its own, although it may take a while. You should be seen by a board-certified plastic surgeon if you have not already done so, just to have someone like that to follow your course. If it is truly a venous occlusion, which is what it sounds like, then as the swelling around the Radiesse diminishes, and then the Radiesse itself degrades and is resorbed, this shoudl go away without any other treatment. Skin loss is rare, though it can occur... more

Vein Occlusion with Radiesse

Although I have never experienced this dreaded complication, the area around the nose is known danger area and fillers placed here may result in vascular compromise. It sounds as if you may have had intravascular injection, or more commonly, vascular compression from your Radiesse treatment. If this was arterial compromise you would not likely see the symptoms you describe so you are probably dealing with a venous occlusion and will have resolution of your symptoms without any... more

Vein occlusion following injections

Vein occlusion results in bruising but no loss of tissue or surrounding skin. If it had been an arterial occlusion then that may have been catastrophic with skin necrosis and scarring. Because of the great vascular connections of your skin there is no need to worry about the vein occlusion. David Ellis MD FRSCS Toronto Facial Plastic Surgeon at Art of Facial Surgery

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Vein occlusion from Radiesse

There are many veins in this area, so some of what you are asking depends on which vein was injected and blocked. That first must be discovered by an appropriate specialist. Sometimes, like if it's an arterial vein, the filler has to be immediately removed. This is difficult with Radiesse because there is no agent, like hyaluronidase, that can dissolve it. That means that it has to be surgically cut out. Although off-label usage, in rare instances, I have seen Viagra help too. If the... more

Radiesse Injection Into the Nose

Injection of Radiesse into the nose or forehead is a well known "danger zone" for reasons that you have already discovered. This problem will either lead to gradual resolution, or less commonly to skin necrosis. I will generally pre-inject the treatment sites with Lidocaine 1% with 1:100,00 epinephrine in order to minimize chances of this complication.

Vein occlusion from Radiesse nasal injection

I have not personally encountered this complication from Radiesse injections, but from what you describe, you most likely had a venous occlusion. This is much less prone to cause skin necrosis and scarring than would the more dreaded arterial obstruction, and given the course of events you've had so far, the bruising should be the worst of it. Follow your physician's instuctions and you should get gradual resolution of the problem. I have used Radiesse in the nasal area for relatively... more

Radiesse® Injection Complications

There are a number of veins that drain around the eyes and nose. It is not unheard of to occlude one of these. The worst problem occurs when one of the veins is injected and the occlusion occurs deep, especially around the optic nerve. This can cause blindness. This is why I use a blunt needle in this area, to try and avoid injecting a vein. If all you have is some bruising (what you have described), then it will resolve with time. Warm (not hot) compresses and the Arnica are the... more

What will happen to vein occlusion due to Radiesse nose injection?

Time will tell. One additional medication that it is often used for this type of problem is nitro paste. This leads to vein dilation and can sometimes improve these symptoms. Otherwise, keep the area moist and watch for signs of infection (redness, drainage, swelling, fever) and keep in touch with your doctor. I hope this information is helpful. Stephen Weber, M.D., F.A.C.S. Lone Tree Facial Plastic Surgeon

Thrombophlebitis - chemical - from Radiesse

The natural history of thrombophlebitis is that it will improve - but, something like Radiesse injected into a vein inadvertently will likely not resorb or absorb and may (I reiterate MAY) be a chronic problem. This is a danger area and hopefuly it will not get infected (unlikely) and it will improve. Best bet, if it is a vein, is to have it excised with micropuncture incision and a plastic surgery or HEENT (head and neck specialist) can deal with it for you.

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Comments (1)

Margaret2000
3 months ago

Doctor said I have venous occlusion, not arterial occlusion. Thanks!

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