Skin necrosis after dermal filler? (Photo)

This is impending necrosis after filler injection.  Proper wound care and blood flow treatment is needed at this time.  I suggest you speak to your injector and in the future only get cannula injections to limit the risk of complications.  Best, Dr. Emer.

It's difficult to say from the photo if this is concerning. I recommend returning to your injector for an in person evaluation.

It is difficult to say from the photo that you supplied and I would recommend that you see the doctor that did the injections. If diagnosed as impending necrosis and cough early, it can be treated or at least minimized. I hope that helps and best regards, Dr. Sapijaszko.

It is hard to say from this photo if there is a problem or not.  It is not obvious.  I'd ask you doc to take a look.  I've seen several posted on Realself that are obvious.  Necrosis is the end result of the skin not getting adequate blood supply and dying.  If there is impending necrosis, it can often be reversed prior to any problems occuring.

The blanching you see is most likely from the filler putting pressure on small blood vessels, and  should resolve on its own fairly quickly. You may be able to speed up the process by applying continuous warm moist compresses to that area. This will open up the blood vessels and help restore normal circulation. Necrosis is essentially the process of the tissue dying, and can be caused by filler being injected directly into a blood  vessel. This is rare but it does happen. The  warm moist compresses will help with that as well. However, since that is a legitimate concern, contact your injector as soon as you can. Your injector should be very willing to see you right away. If not, try to find another injector who will see you right away.                jlr