Juvederm chin reaction necrosis vs infection progress (Photo)

Question

Insertion site (darkest area) has received disolver. Two site bruises were other insertion sites with no reaction Question: continue nitro To top sensitive area vs perimeter? Continue ASA? My MD says yes to both last spoke yesterday. I have juvederm in my temporal with no reaction and to the right of chin no reaction. That wasn't disolved & area feels ok. Hoping this is superficial necrosis at worst. I have sensitivity to darkest thickest area (sting) and tiny bleeding when cleaning w/ q-tip

Jason Emer, MD · Answer

This is vascular occlusion and needs topical wound care with antibiotics and scar gel (not neosporin), oral aspirin, topical nitroglycerine, and you should have injection of hyaluronidase.  I suggest hyperbaric oxygen treatments and in a few weeks starting lasers.  Please PLEASE see an expert.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for your question and series of photographs. I am glad to see that your chin has progressed in a positive way and the that your injector is treating you appropriately.  This will take time to heal and you will see some skin flaking, but it should only improve from here.  I would continue to heed your physician's advice as they have the best idea as to how you are progressing and your tissues are reacting.  Best wishes!

Kyle Coleman, MD · Answer

After seeing your before picture the other day, I am glad to see where you are now.  There is no risk to continuing the regimen for now although the nitropaste is likely unnecessary now.  The residual redness will certainly take time to fade and may need to be treated with a vascular laser in 4-6 weeks.  The sensitivity should return to normal as the skin heals.  Continue to use an emollient cream several times a day, and use a sun screen daily and avoid sun exposure to the area.

Steven F. Weiner, MD · Answer

Since the new photo shows skin changes the night of the injection, it most likely is a vascular event. It seems like you are improving with current therapy. The nitropaste is not needed. I would still cover with antibiotics because bacteria love tissue that is compromised. It's possible laser treatment might be needed in future to maximize your outcome such as the VBeam or Excel V. Biafine is great to improve would healing too, and might expedite improvements.

Hratch Karamanoukian, MD, FACS · Answer

I am glad that it is healing. Make sure you follow up with the injecting doctor closely and regularly.BestDr Karamanoukian#RealSelf100 Member

Juvederm chin reaction necrosis vs infection progress (Photo)

Answers (6)

Answer: Healing after Juvederm problems

Answer: Healing after Juvederm problems

Answer: Juvederm related vascular occlusion

Answer: Juvederm related vascular occlusion

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Juvederm chin reaction necrosis vs infection progress (Photo)

Answers (6)

Answer: Healing after Juvederm problems

Answer: Healing after Juvederm problems

Answer: Juvederm related vascular occlusion

Answer: Juvederm related vascular occlusion

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Recommended reading

Everything you need to know about Chin Filler

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