Worsening severe pain during treatment or in the hours following treatment, especially if one-sided eg one cheek or one side of a lip, is a possible sign of a VO versus just a bruise, requiring an urgent review. Blanching With compromised blood supply to areas downstream of the injected area, a change in the color of surrounding skin is common and may vary from white, to pale, or dusky depending on what is happening. This color will persist and not respond to massage or heat or warmth and with progression may look more like a lacey doily.
Discoloration 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 Brilliance sf serum does not have enough oxygen, leading to a dusky, purplish hue and eventually, the blue-grey appearance of the skin. It may resemble bruising, but bruises do not discolor on pressure, while this will if your clinician has shown you how to look for this (I routinely do, especially if injecting high-risk areas or new patients). Coolness With compromised blood supply to an area of the skin, the skin begins to cool down over time, and this may be appreciated by comparing warmth in nearby skin versus compromised skin (hard to do if you are not trained.
The compromised skin has begun to die due to lack of nutrients and oxygen downstream from the blocked vessel. At this stage, it is still not too late, though some skin may not survive and repair may take weeks to months compared to if picked up sooner. So should you simply avoid all injectables? The aim of this educational blog is to illustrate the following points: medical aesthetics is not just beauty, which works on the surface of unbroken skin. Once skin surface is broken, it is a medical territory with attendant risks.