Can necrosis occur weeks after lip filler? (Photo)

Question

I had lip filler close to 3 weeks ago on top and bottom. Never had bruising or any complications, however today I have a small spot that has discoloration. Dark purple. Could this be necrosis? Can this occur weeks after like this? I believe Juvederm was what I had.

Jason Emer, MD · Answer

It's hard to tell from your picture, but this may be bruising. VBeam treatments can give improvement. I recommend following up with your injector for a formal evaluation. Best, Dr. Emer

Stephen Prendiville, MD · Answer

The timeline you describe does not suggest necrosis.  Impending necrosis related to embolization is usually noted in a very close temporal fashion to the actual injection.  I recommend that yo return to your Injector for further evaluation.

Anteneh Roba, MD · Answer

In most cases if a filler is inadvertently injected into an artery, changes occur almost immediately. The patient will feel pain almost immediately, skin discoloration like blanching of the area, or a darkish blue tint sets in , and break down of the skin occurs . It sounds like none of this happened to you, so I don’t think  you should have to worry about necrosis, but to be on th safe side contact the provider who took care of you for a more detailed evaluation.

Eric M. Joseph, MD · Answer

The dark spot on your lip after a Juvederm  lip augmentation procedure may not be necrosis. When vascular occlusion occurs, there is typically pain and noticeable changes soon after the procedure. You may just have a bruise. If you have concerns, you should visit your surgeon. Hope this helps! Dr. Joseph.

Nicholas Gentry, MD · Answer

The appearance and timing do not suggest necrosis. As others have stated, usually necrosis happens very quickly. It looks more like a bruise which can take a while to resolve in the lips. I would see your provider in person to be sure.

Can necrosis occur weeks after lip filler? (Photo)

Answers (7)

Answer: Necrosis after a lip injection with a temporary gel filler may be symptomatic in the first week after treatment.

Answer: Necrosis after a lip injection with a temporary gel filler may be symptomatic in the first week after treatment.

Answer: Not likely necrosis

Answer: Not likely necrosis

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Can necrosis occur weeks after lip filler? (Photo)

Answers (7)

Answer: Necrosis after a lip injection with a temporary gel filler may be symptomatic in the first week after treatment.

Answer: Necrosis after a lip injection with a temporary gel filler may be symptomatic in the first week after treatment.

Answer: Not likely necrosis

Answer: Not likely necrosis

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Recommended reading

Everything you need to know about Juvederm

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