Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers? (Photos)

Question

I had botox on forehead & around crows feet & radiesse in nasal folds & marionette lines in May. About a month later, I had filler added to checks. 2 weeks later I noticed slight blanching on checks coming & going on forehead. Why would I be getting this on the forehead when all I had was botox there? I have a little blanching on checks too. Derm says massage face. No aspirin - that would break filler particles I also now have blue veins now showing by the temples. Thoughts?

Muhammad Mirza, MD (license suspended) · Answer

Thank you for your question. It's hard to say. I would suggest following up with your injector.  Best regards, Dr. Mirza

Camille Cash, MD · Answer

Occlusions occur as the product is injected and is visible almost immediately.  I recommend returning to your injector for an evaluation of the area to determine what may be causing your symptoms.

Jason Emer, MD · Answer

Occlusion happens immediately after injection. This needs an in-person evaluation. I recommend following up with your cosmetic dermatologist. Best, Dr. Emer

Anteneh Roba, MD · Answer

Necrosis caused by  post intravascular injections of fillers appears way before two weeks. Signs and symptoms are very specific. Your skin changes are not related to intravascular injection of fillers.Eels

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. It would not be possible to have intravascular occlusion weeks or months after filler or Botox placement.  Some patients who are prone to a red coloration to their face during exercise for example can have areas of blanching where the Botox was administered but this typically resolves within the two weeks it takes for the Botox to set up.  Based on your pictures it does not appear that anything as serious as an occlusion is occurring.  Hope this helps.

Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers? (Photos)

Answers (9)

Answer: Is it possible to have intravascular necrosisshowing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosisshowing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers?

Recommended reading

Everything you need to know about Botox

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

Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers? (Photos)

Answers (9)

Answer: Is it possible to have intravascular necrosisshowing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosisshowing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers?

Answer: Is it possible to have intravascular necrosis showing two weeks to a month or so after fillers?

Browse related questions

Recommended reading

Everything you need to know about Botox

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