Juvederm chin reaction necrosis vs infection progress (Photo)

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.

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!

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.