Top Signs of Filler Injection Necrosis You Should Never Ignore

15/07/25
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Although filler injection is a popular beauty method, it still has potential risks if performed incorrectly. One of the most serious complications is necrosis. So what are the signs of necrosis after filler injection? Let’s find out with HBIO Clinic to promptly recognize and handle it properly.

What Causes Filler Injection Necrosis?

Filler injection necrosis occurs when blood flow is disrupted due to incorrect filler placement. Common causes include:

  • Inexperienced injector using improper technique

  • Uncertified filler products of unknown origin

  • Blockage of blood vessels beneath the skin

  • Poor post-injection aftercare leading to inflammation or infection

  • Use of unsterile tools or environments

  • Patient allergic reactions or medical history overlooked

  • Procedures done at unlicensed or non-medical establishments

See now: Safe Forehead Filler Injections – Smooth, Naturally Full Forehead

Causes of filler injection necrosis
Causes of filler injection necrosis

Recognize the fastest signs of filler injection necrosis

Early detection of abnormal signs after filler injection plays a very important role in preventing serious complications such as necrosis. Below are the most obvious and easily recognizable signs to help you promptly handle signs of filler injection necrosis:

Signs of Nose Filler Injection Necrosis

The nose is a high-risk area due to its dense vascular structure. Common signs include:

  • Unusual discharge or severe swelling spreading across the nose

  • Skin around the nose turning red or developing dark blemishes

  • Lumpy or uneven filler appearance, especially with low-grade fillers

  • Excess filler leading to a bulky and unnatural nasal bridge

Signs of necrosis after nose filler injection
Signs of necrosis after nose filler injection

Signs of Chin Filler Injection Necrosis

Signs of chin filler injection necrosis may appear subtly at first, including:

  • Chin appearing unnaturally flat or distorted

  • Disconnected sensation between filler and chin tissue

  • Redness, sun sensitivity, or visible capillaries

  • Long-lasting skin discoloration or discomfort

See now: Should I Get Stem Cell Injections? Answers From Hbio Clinic Experts

Signs of chin filler injection necrosis
Signs of chin filler injection necrosis

Eye area traces for the following voucher buffer

Due to the dense vascular and nerve properties around the eye area, even if the filler is injected incorrectly, abnormal manifestations may appear early:
  • Eyes are wide open, red for many days without decreasing.
  • Eyes have a feeling of being stuck, secreting fluid, sometimes showing anger.
  • Vision is affected, vision is rapidly reduced, this is a serious sign that requires immediate medical attention.

Signs of botched lip filler injection

If you notice signs of lip filler injection necrosis, act quickly. Red flags include:

  • Persistent lip swelling, pain, or stinging sensation

  • Formation of white or yellow pustules near the injection site

  • Lips turning dark or purple 3–5 days post-procedure

  • Tissue breakdown or ulceration – signs of advanced necrosis

Signs of failed lip filler injection
Signs of failed lip filler injection

Cheek filler injection failure

Many people choose cheek filler injections to increase fullness and youthfulness. However, if performed by an unskilled technician or using substandard filler, you may face signs such as:
  • Sagging cheeks, deep smile lines, making the face less fresh.
  • The appearance of lumpy filler blocks makes the cheeks sunken and unnatural.
  • When making facial expressions or smiling, the cheeks become stiff and not as flexible as usual.

How to Prevent Filler Injection Necrosis

When opting for dermal fillers to enhance your appearance, prioritizing safety is crucial to avoid severe complications such as tissue necrosis. Here are key precautions to help minimize the risk of filler injection necrosis:

  • Choose a trusted clinic: Always select a certified dermatology or aesthetic medical center with licensed professionals. If you’re looking for a reliable destination to minimize complications, HBIO Clinic is a reputable option known for its skilled doctors and modern technology.

  • Verify the filler’s origin: Only use dermal fillers that are legally approved, traceable in origin, and certified for quality and safety.

  • Consider the injector’s expertise: The procedure should be performed by someone with deep anatomical knowledge to inject accurately and avoid blood vessel blockage—one of the primary signs of filler injection necrosis.

  • Avoid overfilling: Injecting an excessive amount of filler in a single session can compress surrounding vessels and increase the likelihood of tissue damage.

  • Monitor post-injection symptoms: Unusual swelling, persistent pain, skin discoloration, or prolonged tingling may be early signs of filler injection necrosis—prompt medical attention is critical in such cases.

When to Call a Doctor Immediately

If filler is not administered properly, it can lead to severe complications — one of the most dangerous being tissue necrosis. To avoid long-term damage, you must stay alert and seek medical help right away if any of the following signs of filler injection necrosis appear:

  • Persistent pain or throbbing that doesn’t subside after a few days

  • Discoloration of the injected area, such as dark purple, grayish, or pale white skin

  • Development of ulcers, yellow discharge, foul odor, or bleeding at the injection site

  • Loss of sensation, numbness, or intense burning in the treated area

  • Swelling or bruising that doesn’t improve after 3–5 days or spreads abnormally

  • Sudden changes in vision, especially if filler was injected near the eye area

  • Any unusual symptoms that make you suspect complications or feel unsafe

When should you contact your doctor immediately when you notice signs of filler injection necrosis?
When should you contact your doctor immediately when you notice signs of filler injection necrosis?

Knowing the signs of filler injection necrosis—especially signs of lip filler injection necrosis or chin filler injection necrosis—can make the difference between fast recovery and irreversible damage. Always choose a trusted provider like HBIO Clinic to reduce risk and protect your beauty safely.

See now: Safe Forehead Filler Injections – Smooth, Naturally Full Forehead