L W Schelke1, P Velthuis2, J Kadouch3, A Swift4. 1. Erasmus Medical Centre, Department of Dermatology, Rotterdam, The Netherlands. Electronic address: lschelke@outlook.com. 2. Erasmus Medical Centre, Department of Dermatology, Rotterdam, The Netherlands. 3. ReSculpt Clinic, Department of Dermatology, Amsterdam, The Netherlands. 4. Westmount Institute of Plastic Surgery, Montreal, Canada.
Abstract
BACKGROUND: Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events . OBJECTIVE: to improve the treatment outcome after an vascular adverse event safety of hyaluronic acid filler treatments METHODS: duplex / ultrasound is used to detect the hyaluronic acid filler causing the intra-arterial obstruction RESULTS: If treated in time, one single treatment of ultrasound guided injections of hyaluronidase into the filler deposit will prevent skin necrosis. CONCLUSION: As the use of duplex / ultrasound adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.
BACKGROUND:Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events . OBJECTIVE: to improve the treatment outcome after an vascular adverse event safety of hyaluronic acid filler treatments METHODS: duplex / ultrasound is used to detect the hyaluronic acid filler causing the intra-arterial obstruction RESULTS: If treated in time, one single treatment of ultrasound guided injections of hyaluronidase into the filler deposit will prevent skin necrosis. CONCLUSION: As the use of duplex / ultrasound adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.