Necrosis or Bruise? (photo)

Question

Had juvaderm filler inserted yesterday and didn't notice anything til this morning. Is this an early symptom of necrosis? There's no pain or sensation, just the purple splotch.

Kenneth Hughes, MD · Answer

Bruise would be more likely given the appearance in the photo with the lack of symptoms.  As always, the injector should be kept informed of any concerns. Kenneth Hughes, MD Los Angeles, CA

Sam Naficy, MD, FACS · Answer

Definitely looks like a bruise. It is very common to show up more the next day. If the color and sensation is normal in the surrounding area I would say you don't have anything to worry about. Follow up with your provider if you are still concerned.

Michael A. Persky, MD · Answer

Hi lo,

	It appears to be a bruise, but you should have your injecting physician examine you.  Good luck and be well.

	Dr. P

Christine Rodgers, MD · Answer

If you are worried that it is necrosis and not a bruise make an appointment to see your doctor to ease your concern.

Michael I. Echavez, MD · Answer

From your pictures, it appears that the spot on your face is more likely a bruise than necrosis. I would keep an eye on it to make sure it's improving but if you have any concerns, it would be best to see the physician who injected your Juvederm.

George T. Boris, MD, FRCS · Answer

It looks as though you've bruised, which is common. If any additional symptoms arise or if the area doesn't improve, follow up is recommended. Best of luck!

Peter J. Malouf, DO · Answer

From the photos, it appears to be a bruise.  Did the injector give any precautions to help minimize this?  Stopping Vitamin E, Aspirin, fish oils, etc...?

	You may have to use a yellow concealer for the rest of the week.

	It also helps to ice the area prior to injection.

	Best,

	Dr. Malouf

Esta Kronberg, MD · Answer

From the photo this looks like a bruise. This is very common after Juvederm treatments. It can persist for 1 to 2 weeks.If you have any concerns you should see your physician..

Steven Wallach, MD · Answer

Based solely on the photo, it looks like a bruise. To be sure you may want to see your doctor for an in-office evaluation.

Tracy Katz, MD · Answer

This looks more like a bruise which should fade in a week or so. If it does not resolve follow up with your doctor.

Necrosis or Bruise? (photo)

Answers (14)

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