I Have Blueshift Bruises Appearing Above my Top Lip After Having Restalyne Could It Be Necrosis? (photo)

   Filler injection to lips can and does cause bruising.  If injected too superficially, the Tyndall effect can be produced, a bluish tinge to the area.

By the photograph you've posted, it's difficult to determine which area you are referring to based on the lighting. If you are concerned about your treatment, it is always advisable to return to the provider for a thorough follow-up.

If a dermal filler such as Restylane or Juvederm is injected close to the surface or under thin skin, it can appear bluish. This is called the Tyndall effect. A newer HA filler called Belotero does not do this as much. Bruising can be minimized with the use of non-cutting needles for injection. Discuss your concerns with your injector.

Bruising is very common after lip injections and thats seems to be the case in the pic you have posted. I do not think this is Necrosis but again, thats based on the pic you have posted

Hi Gems.  It does not appear to be necrosis.  In fact we cannot see in the picture the blue color you are speaking about.

If in fact there is a bluish area, it could be a bruise or something called the Tyndall effect that occurs when the product is injected too close to the surface of the skin.  Concerns should be directed to your injector as a starting point.  Good luck.

It's difficult to tell from the quality of your picture, but there is nothing that I see that indicates any necrosis on your upper lip after your Restylane injection.  

The tyndall effect can make your skin appear blue if the Restylane is injected too supefically.  You can also appear blue from bruising.  I would return to your treating injector for proper examination.

The lips tend to bruise with dermal fillers but when the injection is done with cannulas, there is much less chance.  Necrosis is a rare complication with fillers, and again, the blunt cannula technique will reduce this chance even further because an intra-vessel injection is almost impossible.  I don't see any evidence of necrosis in your picture.  Warning signs are immediate blanching of the area and area around the injection.  It then turns mottled, with bluish hues within several hours.

From your photo it does not appear to me to be necrosis, but just regular bruising and swelling. If you have any concerns, your best bet will always be to see your injector for an evaluation in person.