Thank you for your question and for sharing your photographs and experience. I am sorry to see of your complications after filler therapy as an intravascular injection has taken place resulting in a blockage of blood flow to the tissues of your upper lip. Treatment involves immediate hyaluronidase and initiation of local wound care with antibiotics, antivirals, ointment and possibly hyperbaric oxygen. Best wishes on a speedy recovery.
Your pictures and description are consistent with an intravascular injection of filler. This is a rare complication of filler injection. The treatment is the injection of hyaluronidase (preferably immediately if blanching was seen), warm compresses, antibiotics, possibly antivirals, and topical wound care. It sounds like you have had the appropriate care initiated. Continue to follow up closely with the physician who injected the hyaluronidase to minimize the risk of scarring.
I hope this helps and good luck.
Like my colleagues have already said, it appears that you have had a vascular occlusion from the Juvederm injection. The previous silicone has nothing to do with it, and hopefully it is not your injector telling you that it is. The treatment is hyaluronidase injection immediately upon seeing blanching. You need aggressive monitoring, hyperbaric oxygen therapy, antibiotics and antiviral therapy, in order to try to minimize the tissue damage. Seek a specialist immediately!
This might be from direct injection into a vessel or from pressure of filler causing occlusion of the vessel. Hyaluronidase flushed in to the area if it was an occlusion suspicion is often the first line of treatment. Best of luck.
This is likely vascular occlusion affecting the superior labial artery. In addition to hyaluronidase injections, I would give oral antibiotics as well as an oral antiviral such as Valtrex to prevent herpes virus reactivation. Others things that might be of value include oral aspirin, a medicine like Viagra to increase blood flow, and hyperbaric oxygen. You need to be followed very closely by an expert dermatologist or plastic surgeon. I wish you a speedy recovery.
I agree – this is vascular compromise from your most recent injection – it has nothing to do with your Silikon.
With proper care, this area can look basically normal – but it will take many, many months, and there still may be some residual skin texture change.Without excellent care, your final healing will not be as good.
Seek expert help in person now
Unfortunately, this has nothing to do with the prior silikon injection. It is clearly vascular compromise. You need to be treated by a wound specialist under the guidance and care of a plastic surgeon.
Take the advice of other doctors on this forum and have them consider hyperbaric oxygen treatments.
You are very very lucky that the injecting nurse sent you to a expert doctor! Yes the interaction could be the responsible dx. But whatever caused this vascular potential compromise event appears will self correct over time (at least 1 month). Did you tell the injecting nurse you had previous silicone injections? I ask because the silicone could have caused a partial vascular blockage and adding more filler only increased the vascular compromise. The lesson is to tell any injector your previous injections. And second, always best to use an expert experienced MD injector. Good Luck...
It appears as if you need emergency treatment. You need to see a specialist immediately for antibiotics and hyaluronidase and proper wound care. I am so sorry for you. Best, Dr. Green
This is a very bad situation. The Juvederm injection has caused a vascular compromise of the tissue. Hyaluronidase is the correct treatment, as are antibiotics, but I think you need to see another physician immediately. I would inject more hyaluronidase and would consider hyperbaric oxygen. This has very little if anything to do with the prior silikon injection, though having silikon in the lips is not a good situation (in my opinion) either. The problem with the silikon is that it is permanent and there is no way to remove it. Hopefully you will not have problems in the future.
Andrew Campbell, M.D.
Facial Plastic Specialist
Quintessa Aesthetic Centers