I think I have blanching after filler in the cheeks. Please help me. It burns (Photo)

Question

What should I do please help :(

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Munir Somji, BSc, MBBS · Answer

Hello there. I would consult the doctor that's performed your injections immediately as he/she will be able to assess the area and make a decision as to what to do. Fortunately, most fillers in the U.K. are hyaluronic acid based which means that we can inject an enzyme to dissolve the filler in question. If you have occlusion you would be best seeing a specialist in this field as there are many different treatments that can be done to restore blood flow and increase healing.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question and for sharing your
photographs janefoster. I understand your concern. Fillers are used to restore
lost volume in and enhance the appearance of the face.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and without knowing what the skin looked like before the treatment. However,
I hope the information provided here is useful.With filler injections there are risks, as with any injection, of pain, bleeding, bruising, swelling, redness, tenderness, and infection. Additionally, if the filler material gets injected into an artery or puts enough pressure on an artery to block the flow of blood an occlusion can occur. If not corrected the blood supply to the area where the artery goes will decrease, which can lead to necrosis (death of the skin) and other possible complications such as scarring, blindness, and stroke. Fortunately these are very rare and can usually be avoided if addressed quickly and if the treatment is proper. For example in our office I exclusively use hyaluronic acid fillers such as Voluma and Vollure because they have the advantage that they can be dissolved. Blanching is seen immediately when the material is injected into an artery. The surrounding area loses its color and becomes pale. When this occurs the injection is discontinued and the needle is withdrawn from the skin. Usually it can be immediately corrected by firm massage. Other techniques include warm compresses, aspirin, nitroglycerin paste, hyaluronidase, and hyperbaric oxygen. Perhaps the most common sign of occlusion is severe pain at rest. In these cases I ask my patients to return to the office immediately for an evaluation. If my patients have any questions I ask that they call the office. I would recommend that you call the office where you had your treatment with questions.Please consult with a doctor for specific
recommendations.  Good luck!

I think I have blanching after filler in the cheeks. Please help me. It burns (Photo)

Answers (3)

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Everything you need to know about Cheek Lift

Our mission is to create a world where every investment in modern beauty is Worth It.

I think I have blanching after filler in the cheeks. Please help me. It burns (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Cheek Lift

Our mission is to create a world where every investment in modern beauty is Worth It.