Filler Necrosis: The Risks of Counterfeit Fillers
Dermal fillers are widely used to enhance facial contours and restore volume. However, when non-standard or counterfeit fillers are injected, or when procedures are performed by inexperienced providers, serious complications may occur. One of the most concerning conditions is filler necrosis, which requires prompt medical attention.
This article explains what filler necrosis is, how to recognize its symptoms, what to do if counterfeit filler was injected, and how serious this condition can be.
How to Recognize Filler Necrosis
Filler necrosis occurs when blood vessels become obstructed, leading to insufficient blood supply to surrounding tissues. This may result in tissue damage or cell death. Possible warning signs include:
- Severe or worsening pain, swelling, or redness after injection
- Skin discoloration such as dark purple, bluish, or pale white areas
- Burning or intense aching sensations that increase over time
- Blistering, open wounds, or fluid discharge
- Skin breakdown or delayed wound healing
Symptoms can appear within hours or several days after injection. Any abnormal signs should be evaluated by a doctor as soon as possible.

What Should You Do If Counterfeit Filler Was Injected but No Symptoms Appear Yet?
In some cases, individuals who have received counterfeit fillers may not experience immediate complications. However, delayed issues such as chronic inflammation, filler migration, or tissue irregularities may still occur.
Recommended steps include:
- Seeking an evaluation from a qualified doctor
- Providing detailed injection history, including treatment area and timing
- Avoiding further injections or self-correction attempts
- Monitoring the area closely, even if no visible symptoms are present
Early assessment allows doctors to determine appropriate monitoring or management plans based on individual tissue conditions.
Is Filler Necrosis Life-Threatening?
Filler necrosis is considered a serious complication. Without timely medical care, it may lead to severe infection, permanent tissue damage, or complications involving critical structures such as the eyes or vascular system.
Although this condition is uncommon, it highlights the importance of proper product selection and professional expertise when undergoing filler treatments.
At ACQUA Wellness Clinic
we emphasize thorough pre-treatment assessment and ensure that all filler procedures are performed by doctors. Our approach focuses on selecting appropriate techniques and treatment plans that align with each individual’s facial structure and concerns. If you have questions or concerns about filler treatments, you are welcome to consult with us for professional guidance.

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(Closed every Monday)
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