Vascular occlusion of the facial transverse artery after hyaluronic acid filler injection. A case report and 8-step protocol for treatment of acute vascular complications

Main Article Content

Radina Denkova
Iliana Georgieva
Vessel Kantardjiev

Keywords

Late complications, complication treatment protocol

Abstract

Nowadays, dermal fillers are increasingly used for facial rejuvenation and soft tissue augmentation to counteract skin ageing. Even with good anatomical knowledge of the injectors, complications are being observed after the application of volume enhancer products. This study aims to report a case of acute vascular occlusion after hyaluronic filler injections in the sub-malar area of the face. A short overview of possible side effects and a simple treatment protocol are also presented.

Abstract 90 | PDF Downloads 165

References

1. Sudha PN, Rose MH. Beneficial effects of hyaluronic acid Adv Food Nutr Res. 2014; 72:137-76.
2. Papakonstantinou E, Roth M, Karakiulakis G. Hyaluronic acid: a key molecule in skin aging. Dermatoendocrinol. 2012; 4(3): 253-258.
3. Dhillon B, Patel T. A Retrospective Analysis of Full-face Dermal Filler Treatments: Product Choice, Volume Use, and Treatment Locations. J Clin Aesthet Dermatol. 2020; 13(9):33-40.
4. Velthius PJ, Schelke LW. Fillers and vessels: The story of arterial Obstruction after Cosmetic Treatment. J Angiol Vasc Surg. 2021; 6:069.
5. King M, Walker L, Convery C, Davies E. Management of a Vascular Occlusion Associated with Cosmetic Injections. J Clin Aesthet Dermatol. 2020; 13(1):E53-E58.
6. Chason HM, Downs BW. Anatomy, Head and Neck, Parotid Gland. 2022 Oct 24. In StatPearls
7. Toure G, Nguyen T-M, Vlavonou S, Ndiaye M M. Transverse facial artery: Its role in blindness after cosmetic filler and botulinum toxin injections. J Plast Reconstr Aesthet Surg. 2021; 74(8):1862-1869.
8. Cavallini M, Gazzola R, Metalla M, Vaienti L. The role of hyaluronidase in the treatment of complications from hyaluronic acid dermal fillers. Aesthet Surg J. 2013; 33(8)1167-74.
9. Van Loghem J, Funt D, Pavicic T, et al. Managing intravascular complications following treatment with calcium hydroxylapatite: An expert consensus. J Cosmet Dermatol. 2020; 19(11):2845-2858.
10. Cavallini M, Pierce A, Nakab L. Comparative in vivo degradation of hyaluronic acid-based fillers following injection of hyaluronidase. J Cosmet Dermatol. 2024; 23(1):356-357.
11. Henderson R, Reilly DA, Cooper JS. Hyperbaric oxygen for ischemia due to injection of cosmetic fillers: case report and issues. Plast Reconstr Surg Glob Open. 2018; 6(1):e1618.
12. Toscano F. Reversal of skin necrosis. The dermatologist. 2017; 25:11.