Education, not medical advice
The content on this site is general patient education. It is not a diagnosis, not a treatment recommendation, and not a substitute for a consultation with a clinician who has examined you. Whether a blood vessel is blocked cannot be judged from a page, a photograph or a description: when in doubt, make the call or attend.
The findings that need immediate care
Severe pain out of proportion to the injection, or pain that keeps worsening, skin turning white, grey, mottled or dusky, a lacy or blotchy pattern, an area that feels cold, blistering or darkening skin, a drooping eyelid, pain or swelling around the eye, any change in vision, a severe headache, and weakness or numbness on one side of the body all require emergency care now. Do not wait for a reply before attending.
What dissolving can and cannot do
Only a filler of the enzyme-dissolvable class can be dissolved, and dissolving it removes the cause rather than repairing tissue that has already lost its blood supply. Fillers that are not of the dissolvable class cannot be broken down at all. Where skin or vision has been lost, recovery cannot be assumed, and the treatments available afterwards are partial and staged.
When to seek care
For anything in the emergency list, attend the nearest emergency department or call emergency services immediately. For a reaction that is not settling but is not in that list, contact your treating team the same day. Do not massage the area, do not apply heat or cold to it, and do not take a medicine of your own choosing to manage it.