Skin Necrosis with Oculomotor Nerve Palsy Due to a Hyaluronic Acid Filler Injection

Performing rhinoplasty using filler injections, which improve facial wrinkles or soft tissues, is relatively inexpensive. However, intravascular filler injections can cause severe complications, such as skin necrosis and visual loss. We describe a case of blepharoptosis and skin necrosis caused by a...

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Bibliographic Details
Published inArchives of plastic surgery Vol. 44; no. 4; pp. 340 - 343
Main Authors Lee, Jae Il, Kang, Seok Joo, Sun, Hook
Format Journal Article
LanguageEnglish
Published 333 Seventh Avenue, 18th Floor, New York, NY 10001, USA Thieme Medical Publishers, Inc 01.07.2017
Korean Society of Plastic and Reconstructive Surgeons
대한성형외과학회
Subjects
Case Report
dermal fillers
hyaluronic acid
necrosis
성형외과학
Dermal fillers
Hyaluronic Acid
Necrosis
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Summary:Performing rhinoplasty using filler injections, which improve facial wrinkles or soft tissues, is relatively inexpensive. However, intravascular filler injections can cause severe complications, such as skin necrosis and visual loss. We describe a case of blepharoptosis and skin necrosis caused by augmentation rhinoplasty and we discuss the patient’s clinical progress. We describe the case of a 25-year-old female patient who experienced severe pain, blepharoptosis, and decreased visual acuity immediately after receiving a filler injection. Our case suggests that surgeons should be aware of nasal vascularity before performing an operation, and that they should avoid injecting fillers at a high pressure and/or in excessive amounts. Additionally, filler injections should be stopped if the patient complains of severe pain, and appropriate measures should be taken to prevent complications caused by intravascular filler injections.
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ISSN:2234-6163
2234-6171
DOI:10.5999/aps.2017.44.4.340