My question is regarding a possible allergic reaction to Juvederm after having had Radiesse years earlier (Photo)

On 1-28 I got 2 syringes juvaderm ultra to fill lines between nose and mouth, immediately I experienced nearly passing out, after coming to my face bleed, then by the next morning I was sneezing and my nose ran constantly . Went to BS Derm who doesn't specialize in fillers but felt it was a reaction, she put me on antibiotics and steroids as sell as ointment for cuts and steroid cream for blotching/sever redness and swelling, I have bruises under eye and now being advised to take out product

Doctor Answers 4

Complication of fillers

Dear Lwislon, Please take the advice of the surgeons here and see a physician immediately. The fact that your reaction including mottling and bruising is far beyond the treatment area is quite serious. Your circulation has been occluded and you need treatment STAT! I also agree with hyperbaric oxygen treatment to help heal the tissues. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 196 reviews

Complications of injectable fillers

I agree. This is not a allergic reaction but instead vascular occlusion from injection around a blood vessel compressing it, or injection within a blood vessel occlusion it.  The mottling is the tell tale sign. I would present to your injector and bring this up. It does not appear as there is any skin death, which is a very positive sign. At 5 days post injection i do not know what I would do further without feeling your skin and seeing in blanch in person.  Sometimes injecting hyaluronidase can be helpful at dissolving the previous injection. At times people use nitro paste to open up blood vessels. But your mottling seems stable. Allergic reactions are not really seen often with these types of fillers because the product is a natural component of our connective tissue. I wish you the best of luck!

Samir Undavia, MD
Princeton Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

Filler complication: Not allergic reaction, you have Vascular Occlusion from Juvederm

It appears that there are areas affected well beyond the treatment area, including the forehead, nose, cheek, and marionette area.  The blotchy/mottled areas are from poor circulation.  This is an emergency that has been unrecognized.  You have vascular occlusion with impending necrosis.  Please see another doctor ASAP.  Hyaluronidase and probably hyperbaric oxygen are needed!  Call someone now!  Cannulas are much safer and are preferred for all my fillers.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 26 reviews

My question is regarding a possible allergic reaction to Juvederm after having had Radiesse years earlier (Photo)

Yes appears as an allergic reaction. Recommend IV or IM steroids, 5-FU therapy, time. Also report this to the parent company of Juvederm, Allergan... 

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.