Ischemia from Vascular Occlusion. Any suggestions? (Photo)

Question

I had vascular occlusion 1.5 years ago from filler in my nose tip. The discoloration (red and purple) will not go away - I’ve tried several lasers and none have worked (including PDL and Excel V). What could possibly work? I’m desperate for a solution - this has marred my appearance so much and the discoloration fluctuates daily especially in response to colder temperatures. In warm weather it gets better, though not entirely. Any suggestions?

Nelson Lee Novick, MD · Answer

I'm really sorry that you are experiencing this. I have found that professionally performed microneedling combined with the topical application of agents, such as brimonidine, oxymetazolene and tranexamic acid, can be helpful in reducing redness and discoloration following a variety of prior traumas to the skin. As an aside, I am not surprised at the lack of success of the lasers, as I almost daily urge my readers to exercise a healthy dose of "buyer beware" when it comes to considering these expensive "bells and whistles" devices, since the hard science to support them lags well behind the heavy marketing to promote their use. Make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Glenn Messina, MD · Answer

Im sorry for your persistent problem. I suspect this is due to the revascularization of the tip with multiple small vessels that give the red appearance. In my opinion, over time it will resolve on its own, I would be fearful to use any vascular laser because this likely represents healing and possibly you could harm blood flow in the newly vascularized area.

Ischemia from Vascular Occlusion. Any suggestions? (Photo)

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Ischemia from Vascular Occlusion. Any suggestions? (Photo)

Answers (2)

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Everything you need to know about Excel V

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