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Impending skin necrosis after dermal filler injection: A “golden time” for first‐aid intervention
Author(s) -
Hong Ji Yeon,
Seok Joon,
Ahn Ga Ram,
Jang YuJin,
Li Kapsok,
Kim Beom Joon
Publication year - 2016
Publication title -
dermatologic therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.595
H-Index - 68
eISSN - 1529-8019
pISSN - 1396-0296
DOI - 10.1111/dth.12440
Subject(s) - medicine , scars , disfigurement , necrosis , surgery , debridement (dental) , vascular occlusion , avascular necrosis , filler (materials) , necrotic tissue , soft tissue , silicone , dermatology , pathology , materials science , femoral head , composite material , chemistry , organic chemistry
Abstract Vascular compromise with impending skin necrosis is one of the most serious potential complications. Early recognition of vascular occlusion and swift and aggressive treatment are required to avoid any irreversible changes. However, initial symptoms of a vascular event are often dismissed as simple post‐procedural discomfort. If more than 3 days pass after filler injection, crust formation is initiated over the erythematous base along with a rim of fibrous tissue. Due to the replacement of normal tissues by fibrous material, the healing process may result in scar formation in spite of debridement and aggressive dressing changes. Scars often cause contracture and subsequent cosmetic disfigurement, which results in a traumatic burden to the patient. By sharing our experience of the patients with filler induced skin necrosis, we suggest that treatment should be initiated no later than 3 days after the procedure.