Could this be necrosis after lip injections? (Photos)

Question

I got juv ultra plus XC 2 days ago. Right after last injection on lower lip there was blanching. Injector massaged & it returned to color- though My lip swelled & bruised right away- purple/black color. By the next AM, the dark bruising was mostly gone & had turned red. Now, 2 days following, I have pain resembling canker sore on that side of LL (I think a few injection sites even have tiny ulcers), 1 left over dark bruise inside lip and bruising under lip. Could this be necrosis?

Larry S. Nichter, MD, MS, FACS · Answer

According to your photos this does not appear to be necrotic tissue, just normal bruising. Apply some Arnica gel topically and use ice. It typically takes about 10-14 days for all the filler to settle and the tissue to heal from injections, so be patient. Report back to your injector immediately if you feel your symptoms are worsening. Best of luck!

Jason Emer, MD · Answer

This appears to be bruising, which can be typical after lip injections. Bruising and/or swelling will resolve in 1-2 weeks. VBeam treatments can give improvement. If you're unhappy with your final results, you can have it reversed with hyaluronidase and try a different technique next time. See an expert. Best, Dr. Emer

J. Kevin Duplechain, MD, FACS · Answer

The blanching and early bruising could have been signs of injury to a small blood vessel during the injection process.  This is unfortunately a real risk of any filler injection.  Your injector acted appropriately by gentle massage  and  the observation that the  blanching resolved quickly.  The photos seem to demonstrate a bruise,  but nothing more.  If an ulcer develops or an open area, return immediately to your injector for additional care.

Jonathan Kulbersh, MD · Answer

This can be typical after lip filler. Icing, cold compresses and ibuprofen can give improvement. I would wait a full 2 weeks before judging the results. If it is after the two week wait, you can have the filler reversed with hyaluronidase.
I hope this helps!

Monika Soni, MD · Answer

Thank you for your question. No, this looks like typical bruising and swelling after lip injections which can take up to 2 weeks to resolve. You can apply cold compresses to the treated area to help reduce the swelling. It is also advisable to avoid NSAID’s as they tend to thin the blood increasing swelling and bruising. I recommend addressing any concerns you have with your injector. Best of Luck!

Could this be necrosis after lip injections? (Photos)

Answers (10)

Answer: Bruising after Lip Fillers--wait 2 weeks

Answer: Bruising after Lip Fillers--wait 2 weeks

Answer: Could this be necrosis after lip injections?

Answer: Could this be necrosis after lip injections?

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Could this be necrosis after lip injections? (Photos)

Answers (10)

Answer: Bruising after Lip Fillers--wait 2 weeks

Answer: Bruising after Lip Fillers--wait 2 weeks

Answer: Could this be necrosis after lip injections?

Answer: Could this be necrosis after lip injections?

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Recommended reading

Everything you need to know about Juvederm

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