Is this vascular occlusion or vascular compromise? Post Restylane Defyne lip aug sessions.

The redness in your picture may indicate vascular compromise. The filler can be reversed with hyaluronidase and it may take a series of treatments. It can also be treated with topical vasodilators (nitropaste) as prevention. I suggest following up with your injector. Redness can be improved with lasers (ProYellow, Excel V, VBeam) and microneedling/prp. Best, Dr. Emer

Thank you for your question. Based on your photos it looks as though you have developed a significant bruise. The blisters you are describing may be signs of vascular occlusion. The good thing is that these concerns were addressed quickly and appropriately. 

Vascular occlusion after injections of fillers are rare but real complications. If you have a large bruise in the area injected,or a lot of pain, you should inmmediately contact your injector.  Dissolving the filler  is exactly what needed to be done.  As far as the IPL treatments, they would be beneficial to get rid of the bruises a little faster.  I am so glad for you that your injector handled this complication correctly.

Restylane Defyne and discoloration post procedure may be either bruising or potentially vascular compromise.  The Restylane products, particularly Refyne and Defyne, are less likely to cause this as they are less hydrophilic (absorb water).  A hallmark of vascular occlusion is pain.  Check with your injector immediately when concerned about compromise.  Best Dr. Anil Shah

Thank you for the photos and for sharing your concerns. It looks like you have a significant bruise. While this is thankfully rare, it can happen with lip injections. The blistering or pale color change in the later photos could imply vascular occlusion (pressure from swelling resulting in closed vessels). In my practice, we would dissolve your filler immediately with hyaluronic acid. If the physical exam is consistent with a vascular issue, topical Nitropaste would be applied as well. For the discoloration, down the road, there are good laser options. Best of luck and take care.

It is hard to say if this is vascular compromise. The bruising is not concerning for that. It looks like the lip was slightly pale and that would be concerning. If there is any question, the filler should be removed with hyaluronidase. IPL will help heal the bruise faster. My guess is that it was a bruise. I'd expect worse looking lips after 2 days if occluded.