Doppler Ultrasound in the Management of Vascular Complications Associated with Hyaluronic Acid Dermal Fillers

Doppler Ultrasound in the Management of Vascular Complications Associated with Hyaluronic Acid Dermal Fillers

Facial injections with hyaluronic acid (HA) dermal fillers have become increasingly common. Hyaluronic acid is currently the most frequently used dermal filler. When compared to collagen for the treatment of nasolabial folds, HA not only produces similar cosmetic results with smaller doses but also...

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Veröffentlicht in:The Journal of clinical and aesthetic dermatology 2022-02, Vol.15 (2), p.40-43
Hauptverfasser: Munia, Marco Antonio, Munia, Christine Guarnieri, Parada, Meire Brasil, Ben-Hurferraz Parente, Jose, Wolosker, Nelson
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container_issue 2
container_start_page 40
container_title The Journal of clinical and aesthetic dermatology
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creator Munia, Marco Antonio
Munia, Christine Guarnieri
Parada, Meire Brasil
Ben-Hurferraz Parente, Jose
Wolosker, Nelson
description Facial injections with hyaluronic acid (HA) dermal fillers have become increasingly common. Hyaluronic acid is currently the most frequently used dermal filler. When compared to collagen for the treatment of nasolabial folds, HA not only produces similar cosmetic results with smaller doses but also lasts longer. Our objective was to evaluate the results of 10 patients with vascular complications associated with HA fillers treated with ultrasound-guided injection of hyaluronidase (HYAL) according to the Brazilian Society of Dermatology guidelines. Admission clinical evaluation revealed that the most frequent signs were: livedo reticularis (100% of the patients), hypoesthesia (50%) and local pain (20%). Although 80% of the patients complained of local pain during HYAL injection, none of them persisted with pain after the procedure ended. The total dose of injected HYAL per patient ranged from 300 to 750 IU (mean 500 IU). Post-HYAL treatment Doppler ultrasound showed pervious facial arteries and veins in 100% of the patients.
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title Doppler Ultrasound in the Management of Vascular Complications Associated with Hyaluronic Acid Dermal Fillers
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