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Cheek Filler Gone Wrong: Risks and How to Avoid Them

Dr. Vi Sharma has worked in the field of cosmetic surgery

He has a Bachelor of Medicine & Bachelor of Surgery, Monash University; and former member of the Australasian College of Aesthetic Medicine and the Royal Australian College of General Practice.

Cheek fillers have become a popular cosmetic treatment for those seeking to enhance their facial features and achieve a more youthful appearance. However, like any medical procedure, there is a risk of complications or unwanted outcomes. One of the most common issues with cheek fillers is when the results go wrong, leaving patients with a lopsided or overfilled look. This can be a distressing and sometimes painful experience, and may require corrective measures. In this article, we will explore the causes of cheek filler gone wrong, the potential risks and complications, and the options available for fixing the problem.

Cases of Cheek Fillers Gone Wrong

Cheek filler procedures entail the art of proper cheek proportioning. Giving your cheeks too much boost may result in complications and unwanted consequences.

Adverse Reactions to Allergens

Not all people have a strong immune system to allergens. Therefore, some cheek filler brands contain allergens that result in allergic reactions, infections, and complications. Allergic reactions vary from person to person, and the extent may be Mild, Moderate, Or Severe.

Signs and symptoms of allergic reactions to cheek fillers include prolonged swelling, pain, and discomfort. It may also cause itchiness and, in very rare cases, anaphylaxis. Anaphylaxis is the severe allergic reaction to medication or food that leads to shock, skin rashes, and low pulse rate.

If you experience any of these symptoms, it is best to visit your trusted doctors immediately. To combat this problem, you may be given a dose of Antihistamine to reduce the allergic reaction. In some cases, Hyaluronidase may also be administered to dissolve the initial cheek fillers that caused the allergic reaction.

Once the old fillers are dissolved, and the signs of allergic reaction have subsided, new cheek fillers may be administered. Your cosmetic doctor or surgeon will advise you if it is alright to inject new fillers right away or if you need to wait for some more time.

It is best to trust professional cosmetic treatment providers for minimal-risk, more effective cheek fillers. Remember that you opted for a cheek filler to enhance the contour of your face; hence the only way to achieve this is to Trust The Professionals.

Rotting Cheek Flesh

This cheek filler issue is also known as necrotic flesh. This happens when the filler injections are administered into the wrong part of the cheek resulting in the blockage of an artery or a major blood vessel. When there is a blockage in the artery, the Supply Of Blood Is Blocked, which will cause the connected skin tissues to Lose Their Verve, And Will Begin To Rot.

Symptoms of this cheek filler issue include severe redness on the skin that will eventually turn into bluish purple hematomas. Other symptoms are extreme pain like a burning sensation and unusual tenderness.

This can be resolved by Removing Or Scraping Off The Rotting Skin and treating it with Antibiotics And Antiviral to reduce the infection. Once the infection and necrotic flesh are cleared, the wound should be regularly dressed to ensure proper healing. After the healing process, new skin tissues may be grafted to the affected cheek to add volume and smoothen the damaged skin.

Similarly, you can avoid this by choosing the best cheek fillers provider in your area. Always Trust Professional And Licensed Cosmetic Doctors And Surgeons.

Vascular Occlusions

Vascular occlusions may occur similarly to rotting cheek flesh, and the are two ways when improper administration of cheek fillers results in occlusions. The first ensues when the fillers are Unexpectedly Injected Into An Artery Or A Major Blood Vessel, hence directly blocking blood passage. The other occurs when the fillers are injected near an artery, and the pressure caused by the fillers results in Compression Blockade, hence, indirectly blocking blood passage.

Vascular occlusions include severe pain, skin blanching, mottled skin, hematomas, poor capillary refill, blisters, skin shedding, and vision impairment. If most of these symptoms occur, it is best to visit and consult your doctor immediately. However, on your way to the clinic, make sure to Apply A Hot Compress And A Light Massage to the affected area. Your doctor will continue the treatment with a dose of Hyaluronidase and the administration of an Anticoagulant.


Granulomas or lumpy lips are among the rarest shattering and distressing effects of improperly administered cheek fillers. These are Clusters Of Inflamed And Infected Skin caused by the impurities of the injected cheek fillers. These clustered lumps are hard, calcified, painful, and swollen lumps that appear on and around the lips.

The only way to treat this problem is through surgery or by taking out the hard calcified lumps that grew under the skin. Once these lumps are removed, wait for your doctor’s advice on when you can undergo another cheek filler procedure.


The human skin is the body’s protective shield. If this shield is compromised, the inner layer of the skin and other internal parts of the body may get infected. Thus, it is best to use FDA-Approved Fillers and entrust your skin to cosmetic doctors you can depend on. This can help prevent fillers with high toxin contents or fillers that contain allergens.

The symptoms of infection are almost similar to the after-effects of getting a cheek filler procedure. The only difference is that the symptoms are more persistent, like prolonged pain, swelling, and redness. The infection is also indicated by skin shedding, warmth, and abscess.

When these symptoms persist, treating the infection with Antibiotics is the first thing that should be done. Then, when the infection has calmed down, the injected filler should be dissolved by a dose of Hyaluronidase. After dissolving the cheek filler, your cosmetic doctor will provide a comprehensive diagnosis if you intend to have another cheek filler treatment.

Make sure to consult a professional cosmetic provider to prevent further risks of infection and other complications.

Overfill of Cheek Fillers

This happens when cheek fillers injected into the cheeks are more than they contain. Depending on the fillers used, the overfill may be treated with a dose of Hyaluronidase. However, the major setback for this antidote is that Hyaluronidase will break down all of the injected fillers. Thus, if you intend to pursue a cheek filler procedure, you may need to do it again.

Other kinds of cheek fillers are not soluble even with Hyaluronidase. So the only way to solve this mishap is to Wait Out. The overfill will gradually take its toll until the desired volume and shape settle down.

Risks Associated with Cheek Fillers

  • Infection: Injection of fillers can lead to infection at the injection site, which can be painful and require medical attention.
  • Allergic Reaction: Some patients may have an allergic reaction to the filler material, which can cause redness, swelling, and discomfort.
  • Overfilling: Injecting too much filler into the cheeks can result in an overfilled and unnatural appearance, which can be difficult to correct.
  • Lumps and Bumps: Uneven distribution of the filler can lead to the formation of lumps and bumps under the skin, which can be visible and require correction.
  • Migration: Filler can migrate from the injection site to other areas of the face, which can result in an uneven appearance.

How to Avoid Risks Associated with Cheek Fillers

  • Choose a Qualified Practitioner: It is essential to choose a qualified and experienced practitioner to perform the procedure. They should have appropriate training and certification in the use of fillers.
  • Research the Filler: It is important to research the filler material used for the procedure and ensure it is FDA-approved.
  • Communicate with Your Practitioner: Discuss your expectations and concerns with your practitioner before the procedure. They should provide a realistic assessment of what can be achieved and explain any potential risks.
  • Follow Aftercare Instructions: It is crucial to follow the aftercare instructions provided by your practitioner, including avoiding strenuous activity, exposure to heat, and massaging the treated area.
  • Be Patient: Results of the procedure may not be immediately visible and may require several weeks to settle. Avoid scheduling any important events or activities for the first few weeks following the procedure.

Are cheek fillers minimal-risk?

Cheek filler treatments are relatively low-risk and forthright procedures. The after-effects of this procedure include Slight Itching, Bruising, Swelling, And Redness. Except for these downtimes, you may resume most of your activities right after the procedure. However, it would help if you refrained from vigorous physical activities, which may amplify swelling and bruising.

All dermal fillers, including cheek fillers, involve some slight risks of allergic reaction in some patients. In addition, the allergens contained in cheek fillers may injure veins and arteries and cause loss of vision and necrosis due to blood circulation blockage. Thus, it is best to disclose all necessary medical information to your doctor or surgeon.

Choose the Right Cheek Filler Provider

These Fillers-Gone-Wrong Problems may seem threatening and alarming, but they can be prevented from happening when you choose the best provider for cheek filler treatment. Therefore, it is essential to look for experienced and licensed cosmetic doctors.

Any symptoms of adverse effects should not be taken lightly and must be Communicated With Your Doctor Immediately. Remember that no matter how relatively simple cheek filler procedures are, they must be administered by experts and professionals.

Cosmetic doctors and surgeons have gone through extensive training to ensure that they will provide minimal-risk, effective, hazard-free, and reliable cheek fillers. In addition, they will work with you to help you achieve the appropriate cheek contour and volume that you desire.

Sure, it can be more costly getting cheek fillers from professionals. However, ask yourself this, Are You Willing To Take The Risk Of Causing Unwarranted Damage To Your Face Instead Of Taking Guaranteed Safe Treatment?

SKIN CLUB Cosmetic Doctors offers the Most Advanced Techniques That Will Help You Contour And Volume Up Your Future. We will work with you from start to finish until we achieve the cheek profile that you have been dreaming of. We use only the highest quality of dermatologically and DFA-approved products and the Most Advanced Techniques in helping patients achieve their aesthetic needs.

Keep in mind that Your Face Is An Armor You Take With You Every Day. And we are here to ensure that you get the cheekbone prominence you deserve.

Remember, A Successful Cheek Filler Treatment Should Not Come With A Threat!


Want to rejuvenate your skin and reduce signs of aging? Check out Fraxel Laser treatments in Melbourne at Skin Club! Our experienced professionals can help you achieve a youthful glow and feel confident in your skin. Schedule a consultation today to learn more



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About Dr Vi

Dr Vi Sharma is a renowned and highly trained cosmetic surgeon in Sydney, practising cosmetic surgery since 2012. He has a worldwide loyal patient base. He has a bachelor of medicine and a Bachelor of Surgery from Monash University. Dr Vi Sharma is a former member of the Australasian College of Aesthetic Medicine and the Royal Australian College of General Practice. Along with treating patients, he also provides training for doctors and nurses regarding aesthetic and cosmetic treatment modalities.

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