A case of upper lip necrosis after cosmetic injection of hyaluronic acid soft‐tissue filler—Does capillary infarction play a role in the development of vascular compromise, and what are the implications?

Facial rejuvenation with injectable filler substances is a frequently applied outpatient procedure. However, light, moderate, and even severe complications may occur. A case of tissue necrosis at the upper lip after injection of highly cross‐linked hyaluronic acid together with the following salvage...

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Veröffentlicht in:Journal of cosmetic dermatology 2020-06, Vol.19 (6), p.1316-1320
Hauptverfasser: Hirsch, Peter, Infanger, Manfred, Kraus, Armin
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container_issue 6
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container_title Journal of cosmetic dermatology
container_volume 19
creator Hirsch, Peter
Infanger, Manfred
Kraus, Armin
description Facial rejuvenation with injectable filler substances is a frequently applied outpatient procedure. However, light, moderate, and even severe complications may occur. A case of tissue necrosis at the upper lip after injection of highly cross‐linked hyaluronic acid together with the following salvage procedure is presented here. We discuss this complication with respect to relevant anatomy and physicochemical properties of the filler substance and review the recommendations given in literature for decreasing the likelihood of such an adverse event.
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subjects complication
cosmetic
Cosmetic Techniques - adverse effects
dermal filler
Female
Humans
Hyaluronic Acid - administration & dosage
Hyaluronic Acid - adverse effects
Hyaluronoglucosaminidase - administration & dosage
Infarction - chemically induced
Infarction - diagnosis
Infarction - prevention & control
Infarction - therapy
Injections, Subcutaneous - adverse effects
Lip - blood supply
Lip - drug effects
Lip - innervation
microcirculation
Mouth Mucosa - surgery
Nerve Block
Skin - blood supply
Skin - drug effects
Skin Aging
Young Adult
title A case of upper lip necrosis after cosmetic injection of hyaluronic acid soft‐tissue filler—Does capillary infarction play a role in the development of vascular compromise, and what are the implications?
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