Signs of nerve damage after fillers Dr Lindsay informs, “Often a patient with a nerve injury will initially report a sharp electric shooting, burning, itching, tingling or a pins and needles sensation.
Following injections, patients must be monitored closely for signs of nerve injury, which may indicate compression or intravascular injection. Early symptoms include pain, numbness, tingling, difficulty moving muscles, blurred vision, and appearance changes like drooping eyelids.
Paraesthesia : usually nerve damage does not happen during filler injections, but rarely a needle may pierce a nerve, also causing intraneural filler injection or compress a nerve branch.
Pinched nerve symptoms include: Numbness or less feeling in the area supplied by the nerve. Sharp, aching or burning pain, which may radiate outward. Tingling, or a pins and needles feeling.
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.
As with any medical procedure, there are risks involved with the use of dermal fillers. Most side effects associated with dermal fillers, such as swelling and bruising occur shortly after injection and many resolve in a few days to weeks. In some cases, side effects may emerge weeks, months, or years later.
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.
Immediate Pain and Discomfort :
Patients may experience sudden, sharp pain when the needle contacts a nerve.
Some damaged nerves heal on their own, but some injuries are too severe for the nerve to regrow. If a patient has a serious peripheral nerve injury, we have methods to restore muscle function that didn't exist 30 years ago. But it's also important to know there's often a ticking clock with nerve injuries.
It's important to see a GP if you experience the early symptoms of peripheral neuropathy. These include: pain, tingling or loss of sensation in the feet. loss of balance or weakness.
Common danger zones include the glabellar region, temporal fossa, infraorbital region, perioral region, lips, oral commissure, nasal area, and areas with major arteries like the supratrochlear, supraorbital, infraorbital foramen, mental foramen, facial artery, and deep temporal arteries.
Contact with a nerve may cause 'pins and needles' or a brief shooting pain. This does not mean that the nerve is damaged, but if the needle is not repositioned, damage can occur. If this happens you should try to remain still and tell your anaesthetist about it.
The skin might become splotchy, or might become pale, numb or “tingly”. In these instance tell your injector immediately. It can happen several hours after the injection, when the vessel finally becomes occluded, but that is rare.
Persistent Puffiness
Several signs point to a facial filler injection gone wrong, but the main one is puffiness that doesn't go away after the first injection. Typically, you will experience some swelling and puffiness on the treated area, but this goes down after 24 hours.
Most nerve injuries are temporary, and will recover over a period of about three months. Permanent injury does occur on rare occasions. In the most serious cases there can be severe pain or permanent paralysis of the area involved.
Symptoms of facial nerve paralysis include drooping skin around the brow, eye, cheek, and mouth. When a muscle loses motor function, it relaxes completely, and the skin above the muscle relaxes as well.
EMG tests and nerve conduction studies can help find out if you have a health condition that has damaged your muscles or nerves or how they work together. These tests can be done separately, but they are usually done at the same time.
In order to fully determine the extent of the damage to the nerve, the doctor may order an electrical conduction test to determine the passage of electrical currents through the nerves. Two of these tests are electromyography and nerve conduction velocity.
An incorrectly administered intramuscular injection can lead to severe pain, nerve damage, and long-term health complications. Whether it's sciatic nerve injury, SIRVA, chronic pain, or reduced mobility, these injuries can significantly impact daily life.
Nerve pain (neuralgia) can occur when you have nerve damage from a condition or injury. Nerve pain can feel like a shooting, stabbing or a burning sensation. Treatment for nerve pain depends on the cause, and may include lifestyle measures, medicines and other treatments.
Electromyography (EMG) measures muscle response or electrical activity in response to a nerve's stimulation of the muscle. The test is used to help detect neuromuscular abnormalities. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle.
Early signs of vascular occlusion include pain, pale skin or white blanching after filler and prolonged capillary refill. These symptoms are commonly seen within minutes to an hour of an occlusion occurring. Later signs of an occlusion are perishingly cold skin and purple mottling or livedo reticularis.
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.