Is this necrosis or bruise? (Photo)

Question

This is one week after filler injection to the smile line. It appeared 12 hours after injection and no pain. It’s been the same size from the start.

Jonathan Kulbersh, MD · Answer

This looks like bruising. Icing and arnica may 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!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photograph. The area appears to be a bruise. Sometimes bruises take longer than expected to resolve. You should see your injector in person for confirmation. Good luck,

Thuy Doan, MD · Answer

This is just a bruise. I see yellow as well which is a sign of healing. All the best, Dr. Thuy Doan

Tal Dagan, MD, FACS · Answer

Based on the picture, that appears to be a bruise which may occur after filler injections. It is very uncommon to develop necrosis from dermal filler treatment.

Is this necrosis or bruise? (Photo)

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Is this necrosis or bruise? (Photo)

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