When experience
really matters.

Understanding vascular occlusion

A vascular occlusion is a disruption of blood flow that can occur following dermal filler treatment. It is a serious complication that needs prompt clinical assessment. It can happen even when a treatment has previously gone well.

Recognising a possible problem

Warning signs can include unusual or worsening pain, pale skin, patchy discolouration or a change towards a dusky appearance. Symptoms can appear during treatment or later, and pain may not always be present. Do not use this page to rule out a complication.

What assessment involves

The first priority is an appropriate in-person clinical assessment. Bring the date and time of treatment, product details if known and the contact information of the treating practitioner. The clinician will determine the next steps and whether escalation is needed.

Some hyaluronic acid filler complications may require hyaluronidase, administered by an appropriately qualified clinician following assessment. This is not a treatment to attempt yourself.

Support beyond the first appointment

A clear review plan matters. Ask who to contact, what changes require urgent attention and when you will be reassessed. Keep any appointments arranged as part of your ongoing care.

For referring practitioners

If you are managing a suspected complication, follow your clinical emergency procedures and seek appropriate support immediately. Contact Precision Aesthetics to discuss availability, but do not delay treatment or emergency escalation while waiting for a response. Patient information should only be shared through an appropriate, consented clinical channel.

Learning from real complications

Adam’s one-to-one training and Patreon education cover the thinking behind clinical decisions and complication management. Explore the current programme to understand the content, access and suitability for your level of practice.