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Innovative Approach to Minimize Serious Complications in Cosmetic Dermal Filling.
J Vis Exp
November 2024
Department of Orthopedics, The First Affiliated Hospital, School of Medicine, Zhejiang University;
Cosmetic dermal filling represents a significant advance in aesthetic medicine, providing non-invasive treatments with immediate and durable outcomes. Despite the generally safe nature of dermal fillers and avoidable complications with proper technique and planning, they are still risky, with potential complications varying from mild and transient to severe and enduring. This study introduces innovative strategies designed to decrease the risk of serious complications, such as vascular occlusion.
View Article and Find Full Text PDFUltrasound assisted hyaluronic acid vascular adverse event management based on the vascular anatomy.
Ann Chir Plast Esthet
November 2024
Service de chirurgie plastique, reconstructrice et esthétique, hôpital de la Croix-Rousse, hospices civils de Lyon, 103, grande rue de la Croix-Rousse, 69004 Lyon, France; Faculté de médecine Lyon Est, université Claude-Bernard Lyon 1, 8, avenue Rockefeller, 69003 Lyon, France.
Hyaluronic acid (HA) non-surgical procedures are increasingly popular, with approximately 5.6 million performed annually by plastic surgeons worldwide. These treatments effectively address signs of aging in the forehead and nasofrontal areas but come with risks such as bruising, swelling, infections, inflammation, granulomas, skin necrosis, and vascular obstructions.
View Article and Find Full Text PDFFacial Artery Branch Thrombolysis for Nasal Vascular Embolism Induced by Hyaluronic Acid Injection.
Ann Plast Surg
December 2024
From the Department of Aesthetic Medicine, The Third People's Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, Chengdu 610031, Sichuan, China.
Background: Vascular embolism is a severe complication following hyaluronic acid (HA) filler injections, with hyaluronidase injection being the most effective treatment. The nasal region, including the nose and nasolabial fold, is the most common site of vascular embolism after facial HA injections. Currently, there is insufficient clinical evidence regarding the benefits of facial artery thrombolysis.
View Article and Find Full Text PDFTreatment of Facial Artery Embolization Caused by Polycaprolactone-based Dermal Filler with a Regimen Including 5-Fluorouracil.
Plast Reconstr Surg Glob Open
September 2024
From the Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, PR China.
Article Synopsis
- Polycaprolactone-based fillers are widely used in plastic surgery for facial enhancement, but they can lead to serious complications like arterial embolism, a rare condition.
- A 35-year-old woman experienced an arterial embolism after getting a polycaprolactone filler at her nasal base and was successfully treated with a regimen involving 5-fluorouracil.
- Through ultrasound, the treatment showed significant improvement in blood flow and, after long-term follow-up, nearly eliminated facial scarring with no adverse reactions noted.
The Impact of Gel Parameters on the Dispersal and Fragmentation of Hyaluronic Acid Gel Fillers within an Artificial Model of Arterial Embolism.
Gels
August 2024
American Foundation for Aesthetic Medicine, Fruitland Park, FL 34731, USA.
Accidental arterial embolization of hyaluronic acid (HA) fillers can lead to severe complications, including skin ischemia, blindness, and stroke. Currently, the intra-arterial dispersal and fragmentation behavior of HA gels is unknown but critical to our understanding of the pathomechanism of these injuries. This work introduces the Pulsatile Unit for the Laboratory Simulation of Arterio-embolic Restrictions (PULSAR) and evaluates the intravascular behavior of different HA gels.
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