Bad reaction to lip filler, is this an allergy or what? (Photos)

Question

Hi everyone! Last 3 weeks I had very sad experience with lip filler Perfectha.. dont know if the problem is Prfcta or in fillers basically. Week after application I woke up with giga lip. It lasts more than week and it became lumpy, painful and bloody. Doctor said didnt know what is it and put needle in, liquid went out of m lip and now it is ok, but the lip is sooo small and asymetric:((( want to make it better and try some other filler f.e. Juvederm but I am scared what was it.. pls help!

Jason Emer, MD · Answer

this needs to be reversed and any fluid expressed and sent to the lab. i suggest being on antibiotics and oral steroids. once this is also clamn after 3-6 weeks you can likely retry a different filler.  best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photograph and I am sorry to hear of your filler issues.  It is rare to have an allergic reaction to a hyaluronic acid based filler and it appears that you superficial placement of the material leading to lumps and a hematoma.  Glad that you are doing better but if the asymmetry remains significant, consider having the remaining filler dissolved.  Hope this helps.

Christopher Manios, MD · Answer

Thank you for your question. It's hard to understand what happened here. If you woke up with a lump and then the physician poked it and blood came out, then that would be a hematoma which is just a small collection of blood that came from the needle poking to your lip. This can happen from time to time and can either be opened up or allowed to resolve over time. 
The other possibility is that this is a result of injecting filler a little too superficially. This can cause the fillers to lump and become visible. 
In either case, I don't think that this is an allergic reaction as this cases are not commonly seen and don't appear in this manner. I think that you can retry filler again but I would remove the current filler first and start with a fresh palette. 
Hope this helps

Anteneh Roba, MD · Answer

it’s really hard to tell if you developed a small hematoma or an infection. I would follow up with your doctor till the swelling resolves completely.

Lisa Vuich, MD · Answer

Thanks for your question. It is quite possible that the cause of this is viral, the herpes simplex or "cold sore" virus. Someone's first outbreak with this virus often looks like this, multiple lesions, pronounced swelling, oozing (whereas future outbreaks may look more 'traditional' with a single round ulceration). The presence of the filler would have contributed to the swelling because hyaluronic acid, which is what these fillers are made of, attracts water. So if there is inflammation in an area where they are placed, their presence can lead to more pronounced swelling there. It would be a good idea not to do anything to the lip for a while. You may want to consider getting a blood test to check for the antibodies to the HSV, to further confirm the diagnosis. In the future, prophylaxis with an antiviral medication would prevent a cold sore breakout if the lip were to be injected again.
Best,
Lisa Vuich, MD

Justin Harper, MD - Account Suspended · Answer

Hi seznamcz, I'm sorry that you had this experience and ever sorrier to ask you a gory question. Was the fluid pus-like or watery? Were you given antibiotics? If you have an ongoing infection, it would be good to finish your course of antibiotics before considering dissolving the remaining filler with hyaluronidase. Wait for a few days before injecting with fresh filler. I suggest using Restylane Refyne because it produces the least swelling. All the best, Justin Harper, M.D.

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