What is the cause of pus 3 days post nose filler and what does this mean? (Photos)

Question

I got a nose filler last 3 days (This is my second time nose filler in a year) My nose is so red and hurt in 2nd day. But today morning (3rd day) there are plenty of small pus around. Is this because of too much filler block to blood circulation? or it is because of virus infection?

Eric M. Joseph, MD · Answer

This could be a viral infection if you have a personal history of fever blisters on your nose. Whenever somebody develops an infection, it tends to declare itself roughly 3 to 5 days after a procedure. Since infections in the mid face can cause retrograde spread of infection to the brain, this should be evaluated promptly by your doctor, or another facial plastic surgeon. I wish you well moving forward with this. Sincerely, Dr. Joseph

Jason Emer, MD · Answer

This is a risk of injecting fillers to the nose, where the blood vessels either get compressed OR the vessels get filled with filler and cause blockage to the skin which causes this.  You need to get to your doctor immediately for treatment.  Best, Dr. Emer.

Michael A. Zadeh, MD, FACS · Answer

You need to go see your injecting physician ASAP. This is worrisome for infection and vascular compromise until proven otherwise. You need to have the filler dissolved and appropriate treatment started immediately. Make sure you are under the care of a physician who is experienced in treating filler complications. Do not delay. Best wishes.

Mehdi Sina, MD · Answer

Hi,The pain and redness are likely due to an infection. I recommend that you seek immediate medical attention to avoid the potential of a very serious complication (infection in this area can spread to the brain). If the filler used in the nose is a hyaluronic acid, it should be dissolved.Best,Mehdi Sina, MD

Nirmal Nathan, MD · Answer

Your appearance and symptoms good be due to a variety of causes. It is most likely bacterial over viral. You need to go see your doctor immediately or go to the emergency room to get antibiotics. A bad infection in your nose can destroy the tissue and underlying structures, you need to treat this as soon as possible. Good luck.

Prashant Murugkar, MD · Answer

hi I am late in answering your question and praying that you had an uneventful recovery from what appears to be a vascular problem post fillers, warm regards Dr Prashant Murugkar

Pamela Stuart, MD · Answer

You need to seek immediate medical attention. This is clearly an infection and needs to be evaluated and treated ASAP. I would notify your injector immediately,  but if you are unable to get seen and treated today, please go to the nearest Emergency Dept so they can see and evaluate the infection and begin treatment with antibiotics and/or anti-virals prompt;y.

Sheryl D. Clark, MD, FAAD · Answer

Dear kennykenpegazus:Redness and pustules are a well-known complication of filler occlusion of vasculature. Although the redness is usually reticulated if a vessel is occluded, you need to see your injector immediately.All the best to you,   Dr. Clark

Lana Long, MD · Answer

It looks like you have an infection.   Call the doctor who injected you ASAP.  You will likely need a culture as well as antibiotics and possibly an antiviral agent.   Don't delay.  Lana Long MD

Glenn Messina, MD · Answer

This is not a normal response and you should go to the injector immediately if not available then the ER. Its hard to tell by the photo but having discoloration and pain is a concern for a vascular occlusion . It is also possible for you to be having an outbreak of herpes virus which is a potential after facial laser or injection procedures.
In any event this needs to be examined and  a treatment plan started today.Please inform me as to the conclusion,

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What is the cause of pus 3 days post nose filler and what does this mean? (Photos)

Answers (13)

NONSURGICAL NOSE JOB PROVIDERS NEAR YOU