Lip filler occluded treated with hyaluronidase instantly but still in pain? Is this bruising or necrosis? (Photos)

Question

Had 1ml filler done Weds bottom lip occluded, hyalase was used instantly and colour returned. 2 days after woke up in excessive agony across the chin area, returned to clinic and have been given antibiotics and steroid course. Still concerned this is necrosis? I have small white pimples developing. Also my concern was that I have a chin implant inserted 6 years ago, could the hyalase have effected this? The surgeon thinks I have either had a reaction to the hyalase or too much has been inserted.

Matthew Bridges, MD, FACS · Answer

You need to be following up with your doctor daily, if not twice a day in this situation. The pictures are concerning for impending necrosis.  You may need other treatments to prevent permanent damage.

Renata Wix-Harris, MD · Answer

Your pictures appear to show developing skin necrosis from arterial occlusion caused by the filler. You need to follow up with your physician immediately for further treatment (more hyaluronidase, warm compresses, aspirin etc.) to prevent permanent damage. This is an emergency, don't wait. Good luck.

Lip filler occluded treated with hyaluronidase instantly but still in pain? Is this bruising or necrosis? (Photos)

Answers (2)