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Extensive necrosis after injection of hyaluronic acid filler: case report and review of the literature
Author(s) -
Kassir Ramtin,
Kolluru Aparanjita,
Kassir Martin
Publication year - 2011
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/j.1473-2165.2011.00562.x
Subject(s) - hyaluronic acid , necrosis , medicine , filler (materials) , surgery , complication , wound healing , tissue necrosis , pathology , materials science , anatomy , composite material
Summary Background Use of dermal fillers for soft tissue augmentation has become an integral part of aesthetic practices. Dermal fillers temporarily remove the appearance of rhytids and reduce the depth of skin folds. Even with the most experienced of injectors, adverse effects can and do occur ranging from mild bruising to severe injection necrosis. Aims Physicians should be able to treat the severe complication of vascular necrosis and detect impending necrosis after injection of a dermal filler, especially with hyaluronic acid fillers. Materials and Methods Case report of a patient who was followed for 6 months from time of injection of hyaluronic acid filler to complete healing of wound. Results Complete wound healing was achieved with early recognition and institution of treatment. Discussion We review a case report of injection necrosis and methods used to prevent and treat this complication. Conclusion Early recognition of vascular necrosis with specific protocol for treatment after injection necrosis with hyaluronic acid fillers improves the outcome of wound healing.