Necrosis? Or normal bruising pattern?

Question

I had 1 syringe of juvederm injected into my lips last night. After about an hour, a mini white patch appeared on the upper right hand corner of my lip near the border. This went down subsequently and I got bruising inside my lip. I was unsure whether what I was seeing was normal so I called my injector but was unable to get a consultation with her as she is out of town. I went to a&e to get it checked out. They told me it was likely a normal bruising pattern but said they had little experience.

Jason Emer, MD · Answer

This looks like normal swelling and bruising. I would suggest waiting 2 weeks for healing.  You may need more filler on your lower lip, as the upper lip should be a bit smaller than the upper.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs, it appears that you will have a very nice lip augmentation result!  You are not demonstrating any signs of necrosis but rather some subtle bruising as a result of your Juvederm placement.  This should improve daily over the next 1-2 weeks.  Hope that this helps.

Christian N. Ford, MD · Answer

Thank you for your question and for sharing your postprocedure photographs.  Sorry that you are having some concerns about your postprocedure appearance.  Please keep in mind that it will take 2 weeks to see your final result.  Some swelling and bruising after filler injection is normal, especially in the lips.  Icing can help for up to 48 hours postprocedure.  Arnica can also help to minimize postprocedure swelling and bruising.  My best advice would be to give it a full 2 weeks to allow for normal postprocedure swelling and bruising to resolve and to see your final result.  At that point, if you continue to have any concerns, please contact your injector for an in-person reevaluation in order to best address your concerns and to determine the best course of action.  Best wishes!

Darryl J. Blinski, MD · Answer

NO NECROSIS IS SEEN! You are a little over reactive. Did not you injector explain the post injection possible appearances? If not I would complain to her!

Davin Lim, MBBS, FACD - Account Suspended · Answer

Nice job, great lips. Will look even better once the bruising and swelling subsides, this is bruising and not necrosis. With necrosis the skin looks different, often pustules before the colour changes, associated with a significant amount of pain. Sometimes it can be difficult to tell the difference, but this is bruising.All the bestDr Davin Lim Laser and aesthetic dermatologistBrisbane, Australia.

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Necrosis? Or normal bruising pattern?

Answers (6)

Answer: Necrosis? Or normal bruising pattern? (Photos)

Answer: Necrosis? Or normal bruising pattern? (Photos)

Answer: Bruise following Juvederm

Answer: Bruise following Juvederm

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