Filler in blood vessel or small amount what are the symptoms ?

I got juvederm injected in my smile lines it's been about a week now and voluma in my cheeks. i My nose got bruised but now it's better. how do you know when filler was injected in a blood vessel. What happens if a small amount was filler was injected in an artery or blood vessel what happens than . It's been a week now since my fillers . Should I not worry anymore just curious what happens if a small amount of injected and would there still be side effects .

Doctor Answers 5

Filler in Blood Vessel

Juvederm and other fillers usually have amazing results but there are always cases where there can be a side effect. If you have filler in a blood vessel you have immediate pain and the skin turns white.  It is an immediate terrible side effect and not one that happens days later. Best, Dr. Green

Blanching, whitening, pain, skin colour changes following Juvederm

Firstly, the skin and the surrounding area goes white. This is called blanching. The extent depends on the vessel itself. Pain may be present, however this is not universal, as the filler contains Lidocaine. Once the lidocaine wears off, pain will be present. 

The skin then turns pink, red, purple, then black. There maybe 'pimples' and pustules present 12-24 hours after the injection. 

Filler occlusion with Juvederm, Restylane and other HA based fillers can be reversed with Hylase or hyaluronidase. 

All the best
Dr Davin Lim 
Laser and aesthetic dermatologist
Brisbane, Australia.

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 60 reviews

Filler in Blood Vessel

Thank you for your question.  If you have filler injected into a blood vessel the skin will typically turn white in that region and you should feel pain.  If you have unusual symptoms I recommend seeing the person who completed the injections. 

Lisa Zaleski-Larsen, DO, FAAD
San Diego Dermatologist
5.0 out of 5 stars 6 reviews

Vessel occlusion with filler

Filler occlusion is usually noted within the first few hours to a day. If filler is injected into or around a vessel and causes an occlusion of a vessel, the most immediate sign is a blanching or whitening of the tissue that the vessel supplies.  This happens immediately or soon after injection.  The next warning sign is pain that feels like a burning or stinging.  If pain increases after filler, you should call your doctor.  If nothing is done early, the tissue may start to turn blotchy and red/purple followed by small pimples or blisters.  If there is a total occlusion, skin will turn dark and will begin to scab and die.  If there is potential occlusion, you should see your physician immediately to try to dissolve the product and restore blood flow to the tissue.  Fortunately, this is uncommon, the most important thing is to go to a physician who is experienced to avoid complications and knows the warning signs.

Kyle Coleman, MD
New Orleans Dermatologic Surgeon
5.0 out of 5 stars 7 reviews

Filler in blood vessel

If filler occluded a blood vessel, commonly the area turns white first, you would likely have pain, and the tissues might turn dark as the skin dies.  This usually happens soon after injection.  If concerned, see your injector.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.