Is this bruising necrosis or vascular occlusion 24 hrs after filler? (photos)

Question

Hi, I had a hylaroric based filler in my nasio labial folds around 30hrs ago. I felt a lot more pain than usual in my lip area and am experiencing more and more severe bruising in this area as the hours have passed. The doctor said it was weird I was feeling the pain on my lip, as this is not where he had injected. I'm worried I have damaged a vessel and will develop damage to my skin in this area. I have attached pic! Looking for some reassurance, as the practice is not open over the weekend. Help!

Kristin J. Tarbet, MD, FACS · Answer

It appears you have post injection bruising. It can happen frequently, and will resolve with time. If there are any changes, I would recommend following up with your injector.

Anthony J. Wilson, MD · Answer

This appears to be normal bruising following injection in the nasolabial fold. In general this area is prone to bruising especially if the injections are performed with a needle. Necrosis is usually seen with a blanching of the tissue around the area of concern. You can reach out to your doctor and ask about laser to help reduce the bruising. I also recommend arnica gel and tablets. Good Luck.

Glenn Messina, MD · Answer

the fact that there is a similar bruise on each side which coincides with the area of insertion of the needle makes me believe this is simple bruising and will resolve in a few days. warm soaks may help .

If this was an occlusion there would be an entire area involved and it would be quite painful. I would be supposed to see an occlusion on both sides.

Alain Michon, MD · Answer

Hi,

Thank you for your pictures and question. From your pictures and your description, it looks like this is bruising. Sometimes it is normal to feel discomfort or altered sensation in the lip after nasolabial folds injections due to the proximity of nerve innervating the upper lip in this area. A large bruise may take more than a week to fully resolve.  I suggest to follow up with your injector.

Regards,

Jeffrey Antimarino, MD, FACS · Answer

After viewing your photos, it appears that you have areas of bruising.   Damaged vessels or occluded vessels would have more extensive bruising, swelling and skin involvement.   I would recommend sending your photos to the surgeon who injected you for best advice.

Is this bruising necrosis or vascular occlusion 24 hrs after filler? (photos)

Answers (6)

Answer: Bruising ?

Answer: Bruising ?

Answer: Is this bruising necrosis or vascular occlusion 24 hrs after filler?

Answer: Is this bruising necrosis or vascular occlusion 24 hrs after filler?

Recommended reading

Everything you need to know about Dermal Fillers

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

Is this bruising necrosis or vascular occlusion 24 hrs after filler? (photos)

Answers (6)

Answer: Bruising ?

Answer: Bruising ?

Answer: Is this bruising necrosis or vascular occlusion 24 hrs after filler?

Answer: Is this bruising necrosis or vascular occlusion 24 hrs after filler?

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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