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

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.

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.  

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!