Skin Necrosis After Cheek Filler? (photo)

Question

hi i had a small amount of filler done to my cheek dents this evening. the area was massaged quite a bit, and now the area is looking very swollen and bruised. i'm scared something is wrong. should i go to the doctor tmrw? or the er tonight?

Jonathan Kulbersh, MD · Answer

If you have concerns such as these immediately after your filler, you need to contact the doctor who injected the product or seek immediate medical attention. I do not think we can give you a good answer of your question by just looking at the picture.

Darryl J. Blinski, MD · Answer

Photos show early ecchymosis. But if you are SO concerned yes seek medical attention. In fact for sure see the injecting doc. What filler was used?? You did not specify.

Steven Wallach, MD · Answer

Your photos suggest that you got a little bruised from the fillers. However, a formal exam in person would be ideal. And if concerned speak to your doctor.

Steven Schuster, MD, FACS · Answer

Relax flyhoney, this appears to be bruising from the injection and massage. You don't say what type of filler you had injected which may also make a difference. If you are really concerned give your doctor a call and discuss your concerns with him or her. Good luck.

Esta Kronberg, MD · Answer

I think you are OK.Thank you for your great photos. I think these are just bruises and not necrosis. The fillers can bruise for up to 10 days after a treatment.You can also swell for about 3 days.I would hold off on any more massaging. Let the product settle on it's own.You should check in with your doctor in the morning.

Richard W. Fleming, MD (retired) · Answer

You do not have skin necrosis which is the loss of skin but bruising after your injections. Call the physician who did the fillers who call examine you and describe what happened and make recommendations to treat this problem which is probably temporary.

Mitchell Schwartz, MD - Account Suspended · Answer

Your photos appear to show swelling and bruising that can be typical after a filler injection. There do not appear to be any signs of skin necrosis. I always recommend waiting several weeks for the bruising and swelling to go down after the treatment before worrying about any long-term adverse effects.

	For future injections, please make sure you are not taking any dietary supplements, medications, vitamins, or herbs that are associated with excess bruising from filler injections. Those to avoid for at least 10 days prior to injection include non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil) or naproxen (Aleve), aspirin, vitamin E, omega-3 fatty acids (fish oil), licorice, garlic, ginger, ginkgo, and other herbal supplements. The degree of bruising from filler injections may also be affected by injection techniques such as fan like injections, higher injection volumes, and more rapid injection times.

Skin Necrosis After Cheek Filler? (photo)

Answers (7)

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