Juvederm crisis?!?! Now having mottling red skin along the nasolabial folds. Should I go see someone ASAP? (photos)

Question

I received juvederm yesterday in a couple of spots on the lip line, and both nasolabial lines. The issue is on my right side. My right nostril is very dry. My nose is a mottled red. Redness along the right nasolabial area. The injector doesn't think they keep the juvederm antidote in the office. Waiting for the doc to call back. Should I start searching for someone who does and just go there ASAP?

Martin Jugenburg, MD · Answer

this is an emergency and needs immediate help and attending too. I would reach out to your injector ASAP and have the product dissolved out of your nasal labial fold.

Gabriel Chiu, DO · Answer

Thank you for your question. This is an emergency, and you need to be seen ASAP to be evaluated. You will likely need to have the product dissolved in your nasolabial fold, since it appears that you have a blood vessel occlusion. If your injector cannot treat you right away, go to the ER or see another injector.

Kristin J. Tarbet, MD, FACS · Answer

Nasal labial fold injections can compromise arterial blood flow by putting pressure on the Angular artery. I would recommend you see someone, either the injector or another office that is familiar with this type of issue. If a Hyaluronic Acid filler was used Hyaluronidase is an enzyme that can remove the product from the area. Good luck.

Hratch Karamanoukian, MD, FACS · Answer

This area is prone to vascular injury and you must seek evaluation immediately. Call the physician who did the injection NOW.Best

Kouros Azar, MD · Answer

This is serious and must be assessed in person immediately either by your surgeon or the ER. You are most probably going to have to have the filler dissolved. I am sorry that you are experiencing this.

Leonard Grossman, MD · Answer

It does look like you may have a blood vessel occlusion from a filler. I would definitely contact your treating physician for an emergency evaluation. Otherwise go to an emergency room. You may want to consider Hyperbaric treatments to avoid future complications. Good luck from New York City

Val Lambros, MD, FACS (retired) · Answer

this is an emergency. you need to see your doctor. they probably won't have Hyaluronidase in an ER, you need to see a derm or plastic surgeon pronto.

Juvederm crisis?!?! Now having mottling red skin along the nasolabial folds. Should I go see someone ASAP? (photos)

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Juvederm crisis?!?! Now having mottling red skin along the nasolabial folds. Should I go see someone ASAP? (photos)

Answers (7)

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