Headaches caused by Hyaluronic Acid in the temples

劉達儒醫師🌐 繁中 Doctor

Hello, this is Dr. Liu. Regarding your situation, I strongly recommend an in-person consultation as soon as possible. It has been three weeks since your temple filler procedure, and the fact that you are still experiencing daily pain radiating to the back of your head, requiring pain medication, indicates that this is no longer a typical case of short-term post-filler soreness. The absence of visible redness, swelling, or discoloration does not necessarily mean there are no underlying issues. The temple area contains complex layers of blood vessels, nerves, and fascia. If the filler was placed too deeply, too close to neurovascular structures, or if there is localized compression, inflammatory response, hematoma, or residual Hyaluronic Acid, it can cause persistent pain. You have already undergone two sessions of ultrasound-guided hyaluronidase treatment at your original clinic, but the pain persists. This means we need to re-evaluate several factors: 1. Whether there is still residual Hyaluronic Acid. 2. Whether the residual filler was actually reached and degraded. 3. Whether the pain points correspond with the location of the filler. 4. Whether there is nerve compression, localized inflammation, or other causes for the headaches. 5. Whether more precise Ultrasound-guided intervention is required, or if a combined assessment for pain/neurological issues is needed. I advise you not to rely solely on painkillers, nor should you continue with blind, repeated hyaluronidase injections. The safest approach is to use ultrasound to map the filler location, vascular pathways, and pain points simultaneously to determine the next steps. Additionally, if you experience any of the following, please do not wait for an appointment—go directly to the emergency room: Blurred vision, eye pain, darkening of vision, skin turning white or purple, reticulated discoloration (livedo reticularis), sudden worsening of severe headache, nausea or vomiting, unilateral weakness, slurred speech, or eyelid drooping. If convenient, please book an appointment at the clinic, and I can perform an ultrasound examination for you. When you come, please bring or provide in advance: The date of the procedure, product name, total volume, injection sites, dates of hyaluronidase treatments, dosage of hyaluronidase, and the progression of your pain locations over these three weeks. This will help me determine whether this is a residual Hyaluronic Acid issue, a localized compression issue, or if a referral to another specialty is necessary. Please try not to panic, but this situation does require an in-person examination; it cannot be assessed solely online.