Nerve damage after filler - wait or dissolve asap?

Question

I had juvederm volift in eyebrows 0.5 per side and volbella in lateral forehead 0.5 per side injected via cannula by very experienced Derm yesterday. During injection, A few times I felt radiation into my scalp. I have significant swelling and bruising which is not too concerning but today am feeling burning in my scalp again and if touch my forehead, it reproduces the electric shocks on the one side. Question is should I dissolve it immediately or give it some time to settle and if so, how long?

Nelson Castillo, MD · Answer

Thank you for sharing your question.  If a cannula was used as part of your injections I would recommend allowing your results time to mature to see if the paresthesias - tingling and electrical shocks - resolve on their own.  It is unlikely that the product or cannula caused direct injury and most likely swelling is the cause.  hang in there.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question Rotstje. I understand your concern. Vollure is a
hyaluronic acid filler designed to enhance the appearance of wrinkles and folds
on the face. Tingling sensations are possible if the product was placed near a nerve. This would best be addressed by your injector. Swelling and bruising is normal for 2 weeks after a treatment. I recommend that my patients apply cold compresses such as ice packs and sleep on an extra pillow if possible to reduce swelling. Please
consult with a doctor for specific recommendations. Good luck!

Keith Denkler, MD · Answer

Usually it is best to give it time for the "electric" shocks to settle down.The nerve sustained trauma during the injection and needs some time to recover.

Annie Chiu, MD · Answer

Great question! The brows and forehead are advanced areas for filler correction, and it sounds like you worked with a very expert dermatologist.  The first and most important thing would be to have your injector re-evaluate the area for any signs of concern, like changes in color of the skin like duskiness, especially to make sure there is no issue with good circulation in the area.   Symptoms of persistent pain and burning that is more than expected with a bruise sometimes show vessel related issues, and may not be nerve related.  However, it is not unusual if the cannula nudged up against a nerve during your procedure, you can feel some radiating discomfort at the time of the procedure.  It is important you have this area re-evaluated by your dermatologist as soon as possible.

Nerve damage after filler - wait or dissolve asap?

Answers (4)

Answer: Nerve damage after filler - wait or dissolve asap?

Answer: Nerve damage after filler - wait or dissolve asap?

Answer: Tingling after fillers

Answer: Tingling after fillers

Answer: Vollure

Answer: Vollure

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Answer: To Wait or Dissolve filler ASAP?

Answer: To Wait or Dissolve filler ASAP?

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Nerve damage after filler - wait or dissolve asap?

Answers (4)

Answer: Nerve damage after filler - wait or dissolve asap?

Answer: Nerve damage after filler - wait or dissolve asap?

Answer: Tingling after fillers

Answer: Tingling after fillers

Answer: Vollure

Answer: Vollure

Recommended reading

Everything you need to know about Vollure

Answer: To Wait or Dissolve filler ASAP?

Answer: To Wait or Dissolve filler ASAP?

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Everything you need to know about Vollure

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