Do I have tissue necrosis after lip fillers? (photos)

Question

Hi could I please have so advice on my lips. I had 1ml of filler injected 24hours ago, I have quite a lot of swelling and they are very sore/tender, I have noticed a small white/blanched area on my lower lip in the corner that I am worried about, is it just down to the amount of swelling or could it be tissue necrosis that I have read about online? It isn't numb nor is it cold to touch it is just quite sore? The first picture shows it immediately after waking this morning and the second is now! Thank you

Jason Emer, MD · Answer

I suggest seeing your physician if you are concerned.  Pain out of normal is not common.  It looks like bruising from this photo but to be safe, see your doctor.  Best, Dr. Emer.

Nelson Castillo, MD · Answer

Thank you for your question and aI am sorry to hear of your filler issues.  Though nothing replaces an in-person examination, it appears that the whitish area is most consistent with the development of a bruise and not necrosis.  Should you see worsening of this area I would contact your injector immediately to have medication placed to dissolve your filler.

Monika Soni, MD · Answer

Thank you for your question. No, this is not necrosis. What you are experiencing is bruising and swelling which is common after lip augmentation with hyaluronic acid fillers and can take up to 2 weeks to resolve. You can apply cold compresses to the treated area to help reduce swelling. It is also advisable to avoid any NSAID’s as they tend to thin the blood and increase bruising and swelling. If you have any concerns please follow up with your injector. Best of Luck!

Esta Kronberg, MD · Answer

So sorry to hear you are having tenderness after your filler. This can happen after the treatment. This is probably not necrosis but a bruise..Necrosis is very rare and very painful. You would even have an ulceration by now. If you have any concerns or continued pain it is also best to contact your injector.

Steven F. Weiner, MD · Answer

Almost certainly this is not necrosis. The signs of necrosis are initially poor circulation which is blanching. This is immediate. This extends beyond the area injected. It then becomes more painful than usual and gets a reticulated or mottled appearance. Over 2-3 days, the tissue starts to die, and turns dark with usually a superficial infection too. Please see my link. This represents a bruise and I would run it by your doc.

Do I have tissue necrosis after lip fillers? (photos)

Answers (7)

Answer: Lip complication after fillers

Answer: Lip complication after fillers

Answer: Question of lip necrosis

Answer: Question of lip necrosis

Recommended reading

Everything you need to know about Lip Fillers

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

Do I have tissue necrosis after lip fillers? (photos)

Answers (7)

Answer: Lip complication after fillers

Answer: Lip complication after fillers

Answer: Question of lip necrosis

Answer: Question of lip necrosis

Browse related questions

Recommended reading

Everything you need to know about Lip Fillers

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