Can vascular occlusion happen with Ellanse and other permanent fillers?

Question

I'm thinking about trying Ellanse since it is a long lasting filler, but not permanent. I have used hyaluronic fillers in the past 10 years, and would like something that I dont have to refill every 5-6 months. I use it in the chin to increase volume. But my question is; is vascular occlusion/compression a risk of getting Ellanse in the same way as for Restylane? And how do they solve it when Ellanse cant be dissolved? Thats my biggest concern.

Robert M. Tornambe, MD · Answer

Thhea I appreciate your concern, however any type of filler can cause the rare occurrence of vascular occlusion. I have been using fat transfer for chin augmentation for years and have enjoyed excellent, long lasting and many times, permanent results. The procedure is performed under local anesthesia in the office and takes about one hour. Another more invasive option would be silicone chin  implant, which provides a permanent result. Consult with a board-certified plastic surgeon in our area for a full evaluation and exploration into the best options for you. Good luck.

Bernard Tan, MBBS, MRCSB · Answer

Hi!
Vascular occlusion is possible with Ellanse, same as with Hyaluronic based fillers like Restylane.
This is a very unfortunate and sometimes catastrophic adverse event that needs to be avoided- the practitioner needs to have good knowledge of anatomy to avoid the major vessels. There are some tips and tricks that seasoned injectors use to reduce the risk of intravascular injection, such as digital pressure, careful injection speed etc.
Still, sometimes it still happens due to bad luck. as you pointed out it is worse because Ellanse cannot be dissolved with an antidote. The treatment would involve anticoagulation therapy and hyperbaric oxygen. If skin necrosis occurs then the wound needs to be managed with antibiotics and dressings. 
Hope this helps!Dr B

Wassim Taktouk, MBBS · Answer

Hello, vascular occlusion is a risk with any filler agent used. This includes Hyaluronic acids, Ellanse, and Radiesse.  These are not common complications. Ellanse and Radiesse cannot be reversed like Hyaluronic acid fillers Be sure your visit an experienced practitioner always!

Richard Ort, MD · Answer

Vascular occlusion can rarely occur with injection of any filler, including fat. The advantage of hyaluronic acid (HA) fillers is that they can be dissolved and vascular occlusion can often be reversed. This is generally not possible with other types of fillers. Make sure you see an experienced injector.Regards,Dr. Ort

Jo Herzog, MD · Answer

Any filler can cause a vascular occlusion . Thankfully this is rare but is a risk. Fat can occlude a vessel as well. These things are rare and the risk of driving to the doctor is probably bigger. Be sure to use a well trained physician when doing injections.

Can vascular occlusion happen with Ellanse and other permanent fillers?

Answers (6)

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

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Can vascular occlusion happen with Ellanse and other permanent fillers?

Answers (6)

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

Answer: Fillers and vascular occlusion

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Recommended reading

Everything you need to know about Ellanse

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