Juvederm in lips: blood vessel blocked. Is it the esthetician "fault"? A regular at clinic. Licensed esthetician.

In New York State, estheticians (even if "certified") are not permitted to perform Botox or Filler injections. Doing so would be considered practicing medicine without a license. I would strongly advise you to seek the help of a Board Certified Plastic Surgeon or Dermatologist. The treatment for this "vascular emergency" is not ice or massage.....the treatment is immediate injection of Hyaluronidase which is another thing that estheticians are not licensed to administer. You should seek treatment immediately in case things are not as improved as you think. I am also concerned that there is a clinic in my own state that allows estheticians to provide invasive treatments. This is unethical AND illegal and for very good reason. They failed to provide the appropriate immediate treatment at the time of this vascular emergency. 

I'm sorry that you did not have a good experience with lip fillers.  In New York State, aestheticians are not licensed to perform lip injections.  Be careful whom you choose to do your injections.  Make sure they are board certified and have experience treating that area.  I would recommend having a physician you trust to examine you and make sure you will not have permanent damage from your procedure.  Good luck!

All lip injections are handled by myself as the vascular flow to the face is paramount.  I employ a cannula technique to decrease the chance of bruising as well.
Having said that, all physicians likely have had a bruise in the past and while avoidable even the most seasoned injectors get a bruise now and then.