Travel with occlusion from filler

Question

I recently had chin and jaw filler. I have an occlusion in my chin that hasn’t been able to be fixed with over 30 vials of dissolver and multiple drs. The filler was a HA filler. I am at the point where I have pustules that are turning into small wounds. My cap refill is 3-4 seconds. I am wanting to fly back home to seek medical care there. It would be a 6hr flight. Is it safe to fly? I have been taking aspirin daily for last 3 days. Initial dose 300 then 81mg after that.

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear about the complications you're experiencing. Given the seriousness of your symptoms, including pustules, small wounds, and delayed capillary refill, it's crucial to seek immediate medical attention. Here are some considerations and general advice:

Immediate Medical Evaluation: Before flying, consult with a healthcare professional as soon as possible. They can assess your current condition, manage any risks, and provide guidance on whether air travel is advisable.

Risk of Flying: Air travel can affect circulation and may exacerbate your symptoms due to changes in air pressure and reduced oxygen levels. Given your delayed cap refill, which suggests compromised blood flow, it's particularly important to have a medical evaluation.

Aspirin Use: Continuing aspirin may help with blood flow, but it should only be taken under medical guidance, especially if there's a risk of bleeding or other complications.

Wound and Infection Management: The development of pustules and wounds indicates possible infection or tissue damage. This should be addressed promptly to prevent further complications.

Alternative Arrangements: If flying is deemed unsafe, consider other travel options or seek immediate treatment locally until you're stable enough to travel.

Your health and safety are the top priorities, so please ensure you receive a professional evaluation as soon as possible.

Shaden Mohammad, MD · Answer

Is there a provider near your location performing ultrasound-guided filler dissolve? The targeted approach may help identify the problematic filler and give more successful and effective dissolve results. Best of luck, Dr. Shaden, Woodland Hills, CA

Eric M. Joseph, MD · Answer

Sometimes injectable fillers can trigger a viral infection, similar to a cold sore. It's difficult to advise you since the time frame is not clear, however, you may not be experiencing occlusion. I see no reason not to fly Home to procure medical attention. Wishing you well moving forward. Sincerely, Dr. Joseph

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