Why does my fillers suddenly hurt?

Author: Prof. Llewellyn Nader  |  Last update: Wednesday, August 13, 2025

Suggested influencing factors include previous infections and trauma, as well as the injection technique (eg, filler volume, repeated treatments, and intramuscular implantation) and different properties of the filler.

Why does my fillers hurt a year later?

Delayed-onset nodules occur in 0.5% of HA filler treatments, typically four weeks to over one-year post-treatment. These nodules are believed to occur due to either delayed onset inflammation or bacterial biofilms. Often, these nodules have preceding infectious or immune triggers.

What are the first signs of vascular occlusion from fillers?

What are the symptoms of vascular occlusion?
  • Pain or discomfort at the site of the blockage.
  • Swelling.
  • Changes to your skin color; red (erythema) to blueish-purple or white spots (blanching).
  • Cool temperature to the affected area of your skin.

How do you know if your body is rejecting fillers?

If you experience any signs of an allergic reaction after a filler injection, such as tenderness, swelling or asymmetrical fullness, seek medical attention immediately. Ask your doctor to test for allergies to the injectable fillers and/or the liquid gel in which they are suspended.

What is a delayed onset reaction to fillers?

Late-onset inflammatory response occurs at least 2 months after HA injection, and presents as diffuse, firm, red, nonfluctuant inflammation of all areas containing the dermal filler.

Are Lip Filler Injections Painful? • Aesthetic MdR

What are the red flags after fillers?

Signs to look for include pain at the injection site and discolouration of skin (pale or deep red) for up to a few hours after filler injection.

What is a pillow face?

“Pillow face” occurs when too much filler is injected into areas like the cheeks, nasolabial folds (the lines from your nose to the corners of your mouth), lips, and under-eye area. This repeated overfilling can result in a bloated, round appearance that looks far from natural.

How to know if filler has gone wrong?

Here are some of the most common signs of lip filler problems:
  • The appearance of swollen “balloon” lips.
  • Excessive redness or bruising.
  • Asymmetry.
  • Strange-looking bumps and lumps.
  • Overstretching of the lip tissue.
  • Skin necrosis (tissue death)
  • Blindness of injecting the filler into the blood vessel.

What is Tyndall effect filler?

What is the Tyndall effect? The Tyndall effect is a rare phenomenon in which a patient's skin takes on a bluish tone after he or she receives dermal fillers. This discoloration is most often visible in the skin below the eyes due to the area's thin skin.

What is malar edema?

Malar oedema is an accumulation of fluid just above the cheekbones. The severity may vary and can worsen after salty meals or in the mornings. The consistency of the fluid build-up is usually soft and compressible. It is essential to have a full examination to rule out other medical causes other than natural ageing.

What are the first signs of impending necrosis?

SIGNS AND SYMPTOMS OF NECROSIS
  • Pain. 2,3,5,6,7 Severe pain is usually experienced by the patient when necrosis ensues. ...
  • Prolonged blanching. 2,3,5,7 When the vasculature is affected, the area will often initially look very pale, white, or dusky due to the reduction in blood supply. ...
  • Dusky, purple discoloration. ...
  • Coolness.

Does a vascular occlusion hurt?

Vascular occlusion warning signs (4): post-procedural pain

The next warning sign associated with a vascular occlusion is post-procedure pain. Post-procedural discomfort is quite normal, most patients will describe an ache or mild discomfort after a large procedure in most places where they were injected.

What does blanching after fillers look like?

How do you identify blanching following toxin injections? The skin around the injection site(s) will generally turn much paler than your patient's normal skin tone. Often the skin turns completely white, especially in Caucasian patients.

Why does my fillers randomly hurt?

Late-onset inflammatory reactions are rare complications, which may occur following injection of HA dermal fillers. Their cause may be infectious or immune-mediated in origin, and their outbreak can be triggered, for example, by a flu-like illness.

Does sleeping on your side ruin fillers?

Sleep on Your Back or Side: To minimize pressure on the treated areas, it is best to sleep on your back or side for the first 24 to 48 hours. This positioning helps ensure that the filler settles evenly and integrates smoothly with the surrounding tissues.

What are the late complications of fillers?

Late complications are defined as those appearing after about 2-6 weeks. They comprise late allergic reactions, chronic inflammation and infection, granulomas, filler migration, loss of function, telangiectasia, and hypertrophic scars. A detailed history may disclose a potential allergy.

What are the dark side of fillers?

Although hyaluronic acid-based dermal fillers have a low overall incidence of long term side effects, occasional adverse outcomes, ranging from chronic lymphoplasmacytic inflammatory reactions to classic foreign body-type granulomatous reactions have been documented.

What is rha filler?

RHA fillers are designed to enhance facial volume and help your skin appear more youthful. These fillers are used to enhance the natural shape of your lips and can fill and contour your cheeks. They're also designed to treat mild-to-severe dynamic facial wrinkles and folds, including: Expression lines around the mouth.

How much does tear trough filler cost?

"Typically, a patient will need one to two syringes for that region." Similarly, Rieder estimates most people can expect to pay between $1,500 and $2,000 for tear trough filler.

What are the bad reactions to 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. Common risks include: Bruising.

How long does it take for fillers to fully settle?

The best results of dermal fillers are seen typically 1 to 2 weeks post treatment with some of the swelling and bruising dissipating by then. It could take up to 4 weeks for everything to completely settle down, at which point you will notice the results you're expecting.

How long after fillers can an occlusion occur?

Vascular occlusion is one of the rare complications of dermal filler treatment. It may happen as early as receiving the injectable filler or as late as 24 hours post-treatment.

What is the Ozempic face?

Ozempic face is a colloquial term, not a medically recognized condition. It describes the facial changes that can accompany rapid weight loss when using medications like Ozempic or another version of the same drug (generic name semaglutide) FDA-approved for weight-loss treatment.

What happened to Ryan Gosling's face?

It's worth noting that his face has not changed much over the years and the only noticeable difference is the slight difference in his nose shape. Although Ryan Gosling has never confirmed or denied any rumors about plastic surgery. However, it's also possible that his good looks are natural.

What is facial overfilled syndrome?

Facial overfilled syndrome is an underdiagnosed aesthetic complication due to multiple incorrect. placements of fillers. Incorrectly placed dermal fillers, poor selection of filler products, overzealous attempts by the injec- tors, and overly enthusiastic clients who “chase the lines” are the common causes of this.

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