How common is vascular occlusion with lip filler?

How common is vascular occlusion with lip filler? How common is vascular occlusion with lip filler?, What are the odds of vascular occlusion with lip fillers?, How quickly does vascular occlusion happen after lip filler?, How do you prevent vascular occlusion with lip fillers?, How do you know if you have vascular occlusion lips?, What are the first signs of vascular occlusion from filler?

How common is vascular occlusion with lip filler?

Though they are not well documented, the frequency of adverse vascular events is extremely rare; a clinical review of 12 cases published in the Journal of Clinical and Aesthetic Dermatology found that less than 0.05% of all cosmetic injections resulted in some degree of vascular occlusion.

What are the odds of vascular occlusion with lip fillers?

Though they are not well documented, the frequency of adverse vascular events is extremely rare; a clinical review of 12 cases published in the Journal of Clinical and Aesthetic Dermatology found that less than 0.05% of all cosmetic injections resulted in some degree of vascular occlusion.

How quickly does vascular occlusion happen after lip filler?

Yes, the chances of vascular occlusion occurring are quite low. A December 2020 study in JAMA Dermatology found that the risk of vascular occlusion is “exceedingly low” — one in 6,410 syringes via needle and one in 40,882 via microcannula injector — when injected by a board certified dermatologist.

How do you prevent vascular occlusion with lip fillers?

If you have a vascular occlusion after a dermal filler, you could experience symptoms 12 to 24 hours after your filler procedure. Vascular occlusion is a serious condition that needs medical treatment immediately.

How do you know if you have vascular occlusion lips?

Vascular occlusion warning signs (2): pallor

After the initial injection, the next sign of a problem with a VO is usually pallor. In the case of a true, complete vascular occlusion, pallor is very stark, particularly in lips. There will be a grey patch on the lip that sometimes has zero capillary refill.


What are the first signs of vascular occlusion from filler?

Pain: A sudden, severe pain in the treated area is one of the most common signs of a vascular occlusion. The pain may be accompanied by a burning or tingling sensation. Swelling: A sudden, significant increase in swelling in the treated area is another common sign of a vascular occlusion.

How quickly does vascular occlusion progress?

The presentation of vascular occlusion can be divided into three key stages; first you have the immediate symptoms which occur during the procedure, then the early signs that occur within 24 hours, and the late symptoms which develop after the first 24 hour window.

What is the first stage of vascular occlusion?

Pain is usually associate with vascular occlusion. There have been cases reported that occurred 12-24 hours after being injected but almost always it occurs immediately.

Can vascular occlusion happen after 24 hours?

“A key difference is that bruising will have a normal capillary refill time, whereas a VO will have a delayed capillary refill,” Dr Jaymi advises as the best way to determine bruising from vascular occlusion. “Capillary refill time is a simple bedside measure to check peripheral tissue perfusion.

How to tell the difference between normal bruising and vascular occlusion lip filler?

Danger Zone 6: Lips/Oral commissure

The artery anastomoses with the inferior labial artery on the opposite side. The superior labial artery is larger than the inferior artery and runs along the inferior “wet” border. It has 2-3 branches towards nose including the alar branch and nasal septal.


What is the danger zone for lip fillers?

Bruising may occur if an artery or blood vessel has become blocked due to filler injection. Bruising may range from a blue discoloration to a dusky purple-grey appearance. Swelling is likely to occur in and around the injection site if vascular obstruction is present, and may range from mild to severe.

What does vascular occlusion look like immediately?

Specifically, the six danger zones are the glabellar area, temporal region, lip and perioral area, nasolabial fold area, nasal area and the infraorbital area.

What are the danger zones for fillers?

Discolouration of the skin is usually several hours following treatment if it is not picked up earlier as skin begins to accumulate blood that cannot flow and which does not have enough oxygen, leading to a dusky, purplish hue and eventually, blue-grey appearance of the skin.

What does the start of a vascular occlusion look like?

Stage 1 Blanching, occurring within seconds of the AVE, representing cessation of flow within the angiosome supplied by the occluded vessel. Stage 2 Livedo reticulares, a net-like bluish discolouration of the skin in the same distribution. This appears after minutes and lasts up to 36 hours. Stage 3 Pustular.

What are the stages of vascular occlusion lips?

The symptoms of ischemia can occur immediately after the injection or several hours after the procedure. Here, the authors report three cases of necrosis after hyaluronic acid injection with the first symptoms presenting only several hours after the procedure.