Can I try to have my lips filled after suffering from an occlusion and necrosis or is this the end of the road? (photos)

Question

I had my first experience of juvederm yesterday and the nurse practitioner hit an artery i suffered an occlusion and within moments I developed necrosis immediately she dissolved the filler within minutes, Is this just a bad experience or is it something i could have done again in the future? Obviously I am now very nervous about any procedures but have always wanted my lips doing and would like a definitive answer

Joseph J. Castellano, MD · Answer

I'm sorry to hear you've had trouble with your JUVEDERM® injections. Occlusions can occur. I'm glad your injector was able to resolve the issue quickly. After you've completely healed, you should be able to pursue further injections should you so choose. It may be worth scheduling a consultation with another injector for a second opinion in regards to your injection placement. Be sure you're completely healed before you consider more injections and best of luck!.

David M. Lieberman, MD · Answer

Yes you can have filler again.  I recommend waiting until you are fully healed from the occlusion.  Best of luck to you.

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs and I am sorry to hear of your injection issues.  Once fully healed you would be able to pursue an additional lip augmentation but perhaps should consider a new injector or placement with the use of a cannula.  Hope this helps.

Camille Cash, MD · Answer

I'm sorry to hear about the issue you experienced with filler.  Occlusions are not common, but they are a risk with fillers.  Once you have healed from this incident you can proceed with another filler treatment.

Radiance Skin Therapy - Madison · Answer

Thank you for your question and photos. Unfortunately occlusions are a risk with HA fillers and I am sorry to hear about your experience. Once fully healed you would be able to have filler again.

Ian Strawford, MBChB, MBCAM · Answer

I am sorry to hear of your experience and thank you for sharing on this forum. The labial artery in the lips can often run an unexpected course and in some patients sit above the muscle where one needs to place the filler. In this situation the risk of placing product in the artery is extremely high when using a needle. I would suggest waiting several months for all the tissues to fully heal and repair and then if considering further treatment seek a specialist practitioner who will use only a larger diameter 25G or more cannula for the treatment. Personally I have stopped using a needle to inject fillers in the high risk areas of the face such as the lips to reduce the risk of arterial occlusion and skin necrosis and even blindness.

Vilma Di Maria, MBBS · Answer

thankyou for your question. unfortunately occlusions can happen. My advice is that you wait and let things completely settle before you have lip filler again. i would wait a month.Good luck

Rita Rakus, MBBS - Account Suspended · Answer

Hello and thank you for your question. We would always recommend seeking a face to face consult for the best advice and treatment plan however from the information you have provided yes you could have filler again once this inflammation has settled. It's key to always seek an experienced and qualified practitioner for any of these treatments. I hope that helps, best wishes

Can I try to have my lips filled after suffering from an occlusion and necrosis or is this the end of the road? (photos)

Answers (8)

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