Vascular occlusion after lip injections that left a dent above my lip. Should I stay away from filler? (photos)

This probably can be quite difficult to treat. Expertly placed filler could improve things. However, if a scar has formed inside the lip, they might need to also perform a scar subcision to improve this further.

Thank you for your question. From your pictures it seems that you have a very small area of volume deficiency in your left upper lip. It is possible to improve this deficiency with a small amount of filler using superficial injections with a cannula to avoid the vascular supply of the lip. Maybe that will be just enough to improve the lip shape. Hope this helps. Best, Dr Miotto

I would recommend changing injectors. It is critical to use hyaluronic acid filler. These are products that are every effectively broken down with hyaluronidase enzyme. You also need an injector who maintains a supply of hyaluronidase on hand at all times to reverse an occlusion should one develop (it happens). I keep 8 to 12 vials of hyaluronidase on hand at any time. That is more than enough to manage these situations. Immediate intervention is essential. Are you just unlucky? I suspect injector technique might have an influence on outcome. I can't argue with letting this heal for 6 months.