What will happen to vein occlusion due to Radiesse nose injection?

Injection of Radiesse into the nose or forehead is a well known "danger zone" for reasons that you have already discovered.  This problem will either lead to gradual resolution, or less commonly to skin necrosis.  I will generally pre-inject the treatment sites with Lidocaine 1% with 1:100,00 epinephrine in order to minimize chances of this complication.

Time will tell. One additional medication that it is often used for this type of problem is nitro paste. This leads to vein dilation and can sometimes improve these symptoms. Otherwise, keep the area moist and watch for signs of infection (redness, drainage, swelling, fever) and keep in touch with your doctor. I hope this information is helpful.Stephen Weber MD, FACSWeber Facial Plastic Surgery

Although I have never experienced this dreaded complication, the area around the nose is known danger area and fillers placed here may result in vascular compromise.  It sounds as if you may have had intravascular injection, or more commonly, vascular compression from your Radiesse treatment.  If this was arterial compromise you would not likely see the symptoms you describe so you are probably dealing with a venous occlusion and will have resolution of your symptoms without any long term sequelae.

Vein occlusion results in bruising but no loss of tissue or surrounding skin. If it had been an arterial occlusion then that may have been catastrophic with skin necrosis and scarring. Because of the great vascular connections of your skin there is no need to worry about the vein occlusion.

 

David Ellis MD FRSCS Toronto Facial Plastic Surgeon at Art of Facial Surgery

I have not personally encountered this complication from Radiesse injections, but from what you describe, you most likely had a venous occlusion. This is much less prone to cause skin necrosis and scarring than would the more dreaded arterial obstruction, and given the course of events you've had so far, the bruising should be the worst of it. Follow your physician's instuctions and you should get gradual resolution of the problem.

I have used Radiesse in the nasal area for relatively minor imperfections, and have many satisfied patients. For me, the key is to use only small amounts and keep the injections just on the periosteum of the nasal bones so as to minimize the chances of an intravascular injection.