Ep. 115: The Most Feared Dermal Filler Complication: What to Know About Vascular Occlusion

Vascular occlusion is one of the most serious — and most misunderstood — complications in filler injections. In this episode, Dr. Judith Borger breaks down exactly what vascular occlusion is, why it happens, the anatomical danger zones every injector should know cold, and the warning signs every patient should be able to recognize. This isn't a scare-tactic episode — it's an honest, clinical walkthrough from a board-certified physician, designed to help you ask better questions and feel more confident in the chair.

In this episode:

• What vascular occlusion actually is (and how it differs from normal bruising or swelling)
• The two mechanisms: direct intravascular injection vs. extravascular compression
• High-risk anatomical zones: glabella, nose, tear trough, temple
• Warning signs to watch for: disproportionate pain, blanching, dusky/mottled skin
• What to do immediately if you notice these signs
• A brief overview of how it's managed and why HA filler's reversibility matters

• Questions to ask your injector before treatment

Dr. Judith Borger Links:

www.theaestheticdoctor.com

www.instagram.com/doctorborger