Vascular occlusion 1 day post Juvederm in lips. Am I still occluded? Permanent damage? No hyaluronidaise was used. (photos)

Question

I had an occlusion after Juvederm In lips yesterday. By the time I got home I had dusky bottom lip and chin. I was told take aspirin, massage and heat. It seemed more pink after doing that. But by night it looked a lot worse so she said to update her in the morning.This morning it has not gotten worse but has not improved.She said she believes it’s no longer occluded.She prescribed me prednisone and told me to continue aspirin/heat. Am I still occluded? I’m worried my skin is permanently damaged

Michael A. Zadeh, MD, FACS · Answer

I would always recommend dissolving the filler with Hyaluronidase in cases of suspected or proven vascular occlusion. Consequences can be devastating if it is not treated appropriately. Make sure your doctor is experienced in dealing with filler complications. Best wishes.

Payman Kosari, MD, FAAD · Answer

A suspected vascular occlusion should always be evaluated in person and all necessary steps must be taken to prevent necrosis of the skin. This is not a problem that should be managed over the phone.  Best of luck.

Jonathan Kulbersh, MD · Answer

I recommend seeing your injector or Doctor today. If necessary, the filler can be reversed with hyaluronidase. Hope this helps.

Monika Soni, MD · Answer

Thank you for your question. It is difficult to give you advice without examining you in person. However, if necessary you can have the filler dissolved with hyaluronidase. I recommend having a follow up with your injector for an evaluation. Best of Luck!

Harlow Hollis, MD · Answer

Wow! Any suggestion of vascular occlusion should have the injector all over this case. Hyaluronidase as mentioned by all of the other doctors answering this question is absolutely mandatory. Take no chances. If the hyaluronidase was not really necessary then that’s not a bad thing but if it is necessary and it is not given then that is a tragedy.  Hyaluronidase should hopefully reverse the occlusion and allow the blood to bring oxygen to the tissues. I’m not even sure why the prednisone would’ve been used. The treatment would’ve been early use of Hyaluronidase. You look like you may end up being OK but it looks like a close call.

Vascular occlusion 1 day post Juvederm in lips. Am I still occluded? Permanent damage? No hyaluronidaise was used. (photos)

Answers (9)

Answer: Possible Vascular Occlusion

Answer: Possible Vascular Occlusion

Answer: Vascular occlusion one day after JuvedermAm I occluded?

Answer: Vascular occlusion one day after JuvedermAm I occluded?

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Vascular occlusion 1 day post Juvederm in lips. Am I still occluded? Permanent damage? No hyaluronidaise was used. (photos)

Answers (9)

Answer: Possible Vascular Occlusion

Answer: Possible Vascular Occlusion

Answer: Vascular occlusion one day after JuvedermAm I occluded?

Answer: Vascular occlusion one day after JuvedermAm I occluded?

Browse related questions

Recommended reading

Everything you need to know about Juvederm

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