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: 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. Its important now to promote healing definitely follow up with your doctor as much as needed, keep it clean. The area may deteriorate and begin to breakdown. If there is a hyperbaric chamber in town consider treatments, the chamber will force more oxygen into the tissue and promote healing. Time will tell but statistically these things as horrible as they look early on heal nicely. Please keep us informed on your progress.
Helpful
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. Its important now to promote healing definitely follow up with your doctor as much as needed, keep it clean. The area may deteriorate and begin to breakdown. If there is a hyperbaric chamber in town consider treatments, the chamber will force more oxygen into the tissue and promote healing. Time will tell but statistically these things as horrible as they look early on heal nicely. Please keep us informed on your progress.
Helpful
December 20, 2016
Answer: Occlusion after Voluma Thank you for your question lhorner. I am sorry to hear about your situation. Voluma is a filler used to enhance the appearance of the face. With any filler injection there is the possibility that the product enters a blood vessel and stops the blow from flowing to where it should go. In these cases one may see color changes, swelling, blisters, and skin death (necrosis). Occlusion should be treated immediately and monitored closely. Treatments include hyaluronidase, antibiotics, antivirals, aspirin, topical nitroglycerin, warm compresses, and hyperbaric oxygen. Please consult with a doctor for specific recommendations. Good luck!
Helpful
December 20, 2016
Answer: Occlusion after Voluma Thank you for your question lhorner. I am sorry to hear about your situation. Voluma is a filler used to enhance the appearance of the face. With any filler injection there is the possibility that the product enters a blood vessel and stops the blow from flowing to where it should go. In these cases one may see color changes, swelling, blisters, and skin death (necrosis). Occlusion should be treated immediately and monitored closely. Treatments include hyaluronidase, antibiotics, antivirals, aspirin, topical nitroglycerin, warm compresses, and hyperbaric oxygen. Please consult with a doctor for specific recommendations. Good luck!
Helpful