Had Juvederm Voluma w/ little to no bruising previously; this most recent time, however, there were severe complications. My right side either had some sort of reaction, blistering, major swelling, & brusing. I'm being treated by my MD w/ over 20 yrs experience & this has never happened w/ his patients. He's injected the hydrolanaise. I'm taking antibiotics, aspirin, & some 'herpes' meds w/ constant warm rag. He's in touch w/ other docs & Allergen. Was curious of other MD's opinions.
Answer: Reversing Juvederm after Vascular Occlusion--Hyaluronidase--takes a series of treatments I recommend staying with your Doctor's protocols for vascular occlusion. It can sometimes take a series of hyaluronidase treatments to reverse, but it will help resolve this in addition to the other treatments. Hyperbaric oxygen may also give improvement.Its important this is done:1) hyaluronidase daily injections 2) hyperbaric oxygen daily3) oral antibioitics 2x daily4) oral steroids daily5) oral viagra 2x dily6) oral aspirin 2x daily7) topical nitroglycerine paste 2-3 x dailyBest, Dr. Emer.
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CONTACT NOW Answer: Reversing Juvederm after Vascular Occlusion--Hyaluronidase--takes a series of treatments I recommend staying with your Doctor's protocols for vascular occlusion. It can sometimes take a series of hyaluronidase treatments to reverse, but it will help resolve this in addition to the other treatments. Hyperbaric oxygen may also give improvement.Its important this is done:1) hyaluronidase daily injections 2) hyperbaric oxygen daily3) oral antibioitics 2x daily4) oral steroids daily5) oral viagra 2x dily6) oral aspirin 2x daily7) topical nitroglycerine paste 2-3 x dailyBest, Dr. Emer.
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CONTACT NOW Answer: Occlusion after Voluma Dear lhorner: I am so sorry you are going through this. Most cases such as yours resolve beautifully without scarring. It is good that you are being treated early with appropriate medications. The chances are very good that this will not lead to permanent scarring.Voluma requires much more hyaluronidase than other HA fillers, 100s of units rather than 100 or less. Nitropaste can be helpful in dilating the vessels as well. Once the surface is healed, topical retinoids can help to prevent scarring. All the best to you, Dr. Clark
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CONTACT NOW Answer: Occlusion after Voluma Dear lhorner: I am so sorry you are going through this. Most cases such as yours resolve beautifully without scarring. It is good that you are being treated early with appropriate medications. The chances are very good that this will not lead to permanent scarring.Voluma requires much more hyaluronidase than other HA fillers, 100s of units rather than 100 or less. Nitropaste can be helpful in dilating the vessels as well. Once the surface is healed, topical retinoids can help to prevent scarring. All the best to you, Dr. Clark
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December 14, 2016
Answer: Likely Vascular occlusion from Voluma This does appear to be a vascular occlusion. It sounds like you are on the right protocol. Larger volumes of hyaluronidase may be necessary. I would continue to aspirin, warm compresses. Ask your physician about nitropaste to increase blood flow in the area. A word on the good side is that this doesn't look to be necrosis as much as occlusion which will likely result in better outcomes. You may need multiple laser treatments for the color or texture afterward but it does look like you won't need a surgical intervention. Best of luck.
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CONTACT NOW December 14, 2016
Answer: Likely Vascular occlusion from Voluma This does appear to be a vascular occlusion. It sounds like you are on the right protocol. Larger volumes of hyaluronidase may be necessary. I would continue to aspirin, warm compresses. Ask your physician about nitropaste to increase blood flow in the area. A word on the good side is that this doesn't look to be necrosis as much as occlusion which will likely result in better outcomes. You may need multiple laser treatments for the color or texture afterward but it does look like you won't need a surgical intervention. Best of luck.
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December 14, 2016
Answer: Should I be concerned with necrosis and/or major facial disfiguration? Thank you for sharing your experience and I am sorry to hear of your filler related issues. It appears that the Voluma placement led to inadvertent blockage of an artery in your right cheek causing the skin and tissues supplied by that vessel to be deprived of oxygen and nutrients. Your physician has done the correct treatment with immediate placement of hyaluronidase (it may take several treatments) as well as placement on antibiotics. I would keep the area moistened with Aquaphor and allow your body time to heal, while maintaining in close contact with your doctor to report any changes. Best wishes.
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CONTACT NOW December 14, 2016
Answer: Should I be concerned with necrosis and/or major facial disfiguration? Thank you for sharing your experience and I am sorry to hear of your filler related issues. It appears that the Voluma placement led to inadvertent blockage of an artery in your right cheek causing the skin and tissues supplied by that vessel to be deprived of oxygen and nutrients. Your physician has done the correct treatment with immediate placement of hyaluronidase (it may take several treatments) as well as placement on antibiotics. I would keep the area moistened with Aquaphor and allow your body time to heal, while maintaining in close contact with your doctor to report any changes. Best wishes.
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December 22, 2016
Answer: Vascular compromise In looking at your photo the areas involve extend beyond the immediate injection site and into areas supplied by the artery in that region. I believe some of the filler either pressed the artery closed or went into the artery clogging it thus reducing blood flow to the tissues and they began to die. The medication used to break down the filler will also break down hyaluronic acid in the skin so you will develop more bruising but its essential to restore the blood flow and that is the treatment of choice. I don't know the timing form injection the reversing the filler hopefully is was in the first 24 hours if not immediately after the skin changes color.
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December 22, 2016
Answer: Vascular compromise In looking at your photo the areas involve extend beyond the immediate injection site and into areas supplied by the artery in that region. I believe some of the filler either pressed the artery closed or went into the artery clogging it thus reducing blood flow to the tissues and they began to die. The medication used to break down the filler will also break down hyaluronic acid in the skin so you will develop more bruising but its essential to restore the blood flow and that is the treatment of choice. I don't know the timing form injection the reversing the filler hopefully is was in the first 24 hours if not immediately after the skin changes color.
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