Do I have nose necrosis after fillers? I got fillers on my nose tip earlier today. Now my entire nose is bruised. (Photos)

Question

I only got injections on the tip but my entire nose has dark spots now and one side of the tip is very dark.

Stephen Giordano, DO · Answer

Although these pictures make it less likely to make an accurate diagnosis, this does not appear to be necrosis. Honestly, I don't even see much bruising with the exception of a little punctate spot on your right side.  Some bruising is to be expected.  Necrosis generally would be painful, and give more "color" changes to the skin that is white, red, purple variations.   I'm fairly sure this is not necrosis, but you need to see your provider ASAP if you are still concerned.  Time is of the essence to prevent damage as there is a treatment available.   Best to you, Dr. Giordano

Philip S. Schoenfeld, MD, FACS · Answer

I have been consulted for tip necrosis following rhinoplasty surgery and it does not look like the photos that you have provided.  I cannot say that you do not have some element of nasal tip vascular compromise or simply bruising.  If you push on your tip gently and watch the skin turn white or light  (blanching of the skin) then release the pressure and watch the light tip skin regain color, then you know there is good capillary refill and likely no chance of tip necrosis.  Obviously, a call to your injector is a very good idea as well.

Lewis Albert Andres, MD · Answer

Hello!  It is difficult to assess on your photos alone. However, given your submitted photos and your description, I would recommend following up immediately to assess the area. Following any injection, the vascularity may become compromised and is always a concern. Any changes from the norm is urgent and should be brought to somebody’s attention immediately. Best wishes!

Daniel Barrett, MD · Answer

Dear germangirl1990,it is hard to tell for sure without an examination but based on your photo, it doesn't look like a necrosis. If you are concerned, I would suggest you to consult your plastic surgeon. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Anteneh Roba, MD · Answer

It’s very difficult to tell from your photo whether you have bruising or something more serious. I would suggest consulting with your injector.

Do I have nose necrosis after fillers? I got fillers on my nose tip earlier today. Now my entire nose is bruised. (Photos)

Answers (10)

Answer: Nose necrosis

Answer: Nose necrosis

Answer: Do I have nose necrosisafter fillers? I got fillers on my nose top earlier today. Now my entire nose is bruised.

Answer: Do I have nose necrosisafter fillers? I got fillers on my nose top earlier today. Now my entire nose is bruised.

Recommended reading

Everything you need to know about Dermal Fillers

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

Do I have nose necrosis after fillers? I got fillers on my nose tip earlier today. Now my entire nose is bruised. (Photos)

Answers (10)

Answer: Nose necrosis

Answer: Nose necrosis

Answer: Do I have nose necrosisafter fillers? I got fillers on my nose top earlier today. Now my entire nose is bruised.

Answer: Do I have nose necrosisafter fillers? I got fillers on my nose top earlier today. Now my entire nose is bruised.

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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