How to Spot Necrosis After a Dermal Filler? (photo)

Question

I had perlane yesterday (about 24hrs now) I had 2 injections as discussed with my Dr The R cheek was filled more than the other because of the amount of acne scarring I've been reading all the risks associated and obviously the scariest one is necrosis How long does it take for one to spot it? What are the earlier symptoms? I've been having pain and my cheeks are quite swollen specially the right one. The Dr told me Drs are able to spot it straight away after the injections. I'm worried

Jeff Angobaldo, MD · Answer

Thank you for your question.  You have swelling and some bruising from your filler injected yesterday.  An examination would be needed to fully evaluate for impending skin necrosis.

Sam Naficy, MD, FACS · Answer

Following up with the provider for any concern over necrosis and/or side effects should help alleviate your concerns. From the photo's you've posted, it looks like you have some expected swelling and unfortunate bruising, but it's very difficult to assess you without seeing you in person.

Milan Shah, MD · Answer

Detecting necrosis after dermal filler injections is a serious concern and should be addressed promptly. Here are some signs to look for:
1. Skin Color Change: Watch for a bluish or dusky appearance of the skin around the injection site. This can be a sign of poor blood circulation. 2. Pain and Discomfort: Increased pain, burning, or stinging at the injection site an be indicative of tissue damage.3. Swelling and Inflammation: Excessive or prolonged swelling, redness, and inflammation that don’t improve with time could signal a problem.4. Skin Texture Changes: If the skin becomes uneven, lumpy, or feels hard, it might be a sign of filler migration or tissue damage.5. Ulceration or Skin Breakdown: The development of open sores, ulcers, or blisters at or near the injection site is a concerning sign.6. Lack of Improvement: If you don’t see any improvement in the treated area or if it worsens over time, it may indicate complications.
If you suspect necrosis or any severe complications after dermal filler injections, it’s crucial to seek healthcare professional can properly diagnose and treat such issues. Early intervention is key to minimizing potential long-term consequences.

Mark Taylor, MD · Answer

I appears from you photo that you just have some bruising following your procedure.  If you are concerned, please check with the doctor who did your treatment.

Francis R. Palmer, III, MD (retired) · Answer

Necrosis from vessel occlusion typically appears when fillers, Perlane, Restylane, Juvederm or Radiesse are injected in the nasolabial folds, Marrionette lines or lips.  Fillers into the Cheeks are less likely to have this issue.  Your photos show bruising but any evaluation and recommendations should come from the MD that did your Perlane Cheek Augmentation and you should consider seeing him/her for follow up.

How to Spot Necrosis After a Dermal Filler? (photo)

Answers (5)

Answer: Necrosis is extremely unlikely with injection on the cheek.

Answer: Necrosis is extremely unlikely with injection on the cheek.

Answer: How to Spot Necrosis After a Dermal Filler?

Answer: How to Spot Necrosis After a Dermal Filler?

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How to Spot Necrosis After a Dermal Filler? (photo)

Answers (5)

Answer: Necrosis is extremely unlikely with injection on the cheek.

Answer: Necrosis is extremely unlikely with injection on the cheek.

Answer: How to Spot Necrosis After a Dermal Filler?

Answer: How to Spot Necrosis After a Dermal Filler?

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Recommended reading

Everything you need to know about Restylane Lyft

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