I dissolved my filler which left me dented and deformed. I had it refilled with Vobella. Could I have tissue damage? (Photos)

Question

I have burning and bruising above my upper lip and my lips are bruised / discoloured with white pimple like bumps. They stick out on the sides bad too and burning above my lip. The doctor who did them said it is fine but its been almost two weeks and its getting worse. Please help! I am worried I have tissue damage and possible necrosis.

Jason Emer, MD · Answer

Swelling and bruising can last 1 to 2 weeks after lip filler injections. To diminish the bruising, I recommend using LightStim LED or, in more significant cases, a vascular laser or IPL treatment. Arnica with Bromelain ("Arnika Forte") can also be taken to help speed up the healing.
If you're unhappy with your results, you can also have the filler dissolved with hyaluronidase and try a different filler and/or technique next time. If the bruising doesn't improve - or if you feel any pain - see your physician or an experienced cosmetic dermatologist for an evaluation. Best, Dr. Emer

Mayli Davis, MD · Answer

Hi.  From your photos it does not look like necrosis.  But from the description it sounds like you may be having an outbreak of HSV (cold sores).  This can sometimes be triggered by injections.  I suggest having your doctor prescribe a course of 
Hope that helps!

I dissolved my filler which left me dented and deformed. I had it refilled with Vobella. Could I have tissue damage? (Photos)

Answers (2)