Risks and Complications
Possible side effects include: temporary redness, swelling, pain/tenderness, bruising, firmness, lumps/bumps, discoloration, and itching at the injection site. Less common risks include infection, nodule formation, and asymmetry. Results are not guaranteed and may require touch-up treatments.
Vascular Occlusion & Emergency Protocol
A rare but serious risk of dermal filler injection is vascular occlusion — the unintentional injection of filler into or near a blood vessel, which may restrict blood flow to surrounding tissue. If left untreated, vascular occlusion can result in skin necrosis (tissue death), vision changes, or, in extremely rare cases, permanent vision loss or stroke.
Warning signs include: immediate or delayed blanching (whitening) of the skin, severe or worsening pain beyond expected discomfort, mottled or bluish skin discoloration, and any changes in vision during or after the procedure.
Emergency Reversal with Hylenex® (hyaluronidase): In the event of a suspected vascular occlusion, Nurse G LLC is prepared to administer Hylenex® (hyaluronidase), an FDA-approved enzyme that dissolves hyaluronic acid filler and helps restore blood flow to the affected area. Patient acknowledges that Hylenex® may be administered without additional consent if a vascular occlusion emergency is suspected, as time-sensitive intervention is critical. Patient also understands that Hylenex® use will dissolve some or all of the filler product previously injected.
Patient agrees to seek immediate emergency medical care and to contact Nurse G LLC without delay if any of the above warning signs occur. Nurse G LLC and its providers are not liable for complications arising from failure to follow post-treatment instructions or failure to disclose pre-existing medical conditions prior to treatment.