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2 years post. How do Doctors avoid vascular occlusion?

Vascular occlusion is a rare but serious complication of dermal fillers. The risk is reduced with proper injection technique but the risk is never zero. If a needle was used last time, you can consider having your filler placed with a microcannula to reduce intravascular injection. Always make sure to see a board-certified experienced provider.

Clinical Context

Vascular occlusion occurs when filler enters a blood vessel directly or builds up enough around it to compress it from outside, cutting off blood flow. A sharp needle can pierce a vessel wall, while a blunt-tipped microcannula tends to slide around vessels instead. Injecting slowly, in small amounts, and moving the needle or cannula frequently also helps prevent filler from pooling near a vessel. These techniques lower risk but cannot eliminate it entirely.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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