What can be done about this redness 2 months after dermal fillers? (Photos)

Question

I had dermal fillers for the 2nd time about 2 months ago with 1ml Stylage XL injected to my chin. Now 2 months later my chin is red, although not as red as the first week. Is this caused by something more serious as vascular compression or could it just be due to my skin being irritated from the multiple injections? What can be done about it? The redness never lasted like this the first time I got fillers. This time it came a lot more blood (probably due to NSAID pills) and hurt more.

Nirmal Nathan, MD · Answer

Dear Doni1491,Thank you for your question. To the best of my knowledge, and according to the FDA website, Stylage is not approved in the United States, although it is used extensively in Europe. It is not normal to have so much redness 2 months after a filler injection, and you should reconsult with your injector as you may need antibiotics or have the filler reversed with hyaluronidase. Do not wait, because it is an infection and it goes untreated in can cause irreversible damage to your face. Always make sure your injector is reputable and qualified. Good luck.Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Philip S. Schoenfeld, MD, FACS · Answer

You are dealing with an infection and not vascular compromise.  You need to be placed on oral antibiotics and if the infection does not resolve then the filler needs to be dissolved or this process will continue to recur.

Eric M. Joseph, MD · Answer

I doubt this is vascular occlusion since that may present as painful whiteness of an injected area, usually noted the day of the treatment. Occasionally the large sugar molecule, HA, may become infected and lead to red raised areas. If that's the case, a course of antibiotics may be helpful. If you cannot find a reputable physician familiar with the treatment of HA problems, consider calling the manufacturer of Stylage XL to report the event and ask for a local referral. Hope this helps, and wishing you well. Dr Joseph

Mehdi Sina, MD · Answer

Hi,I would schedule a follow up with your injector soon to have this looked at. It may be prudent to dissolve the filler - pain, bleeding and the skin changes make a vascular event very likely.Best,Mehdi Sina, MD

Jason Emer, MD · Answer

The redness can indicate intravascular occlusion or blood vessels compression and I suggest you see your physician right away.  This can be reversed with hyaluronidase and should be treated with topical vasodilators (nitropaste) as prevention. Best, Dr. Emer

What can be done about this redness 2 months after dermal fillers? (Photos)

Answers (6)

Answer: Follow up

Answer: Follow up

Answer: See a Doctor for a Formal Evaluation--redness after fillers

Answer: See a Doctor for a Formal Evaluation--redness after fillers

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Everything you need to know about Dermal Fillers

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What can be done about this redness 2 months after dermal fillers? (Photos)

Answers (6)

Answer: Follow up

Answer: Follow up

Answer: See a Doctor for a Formal Evaluation--redness after fillers

Answer: See a Doctor for a Formal Evaluation--redness after fillers

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.