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

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.  

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.

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.

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.

 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.