Objectives: To learn how to treat cases of vascular complications with dermal fillers presenting with less characteristic clinical features
Introduction: Vascular complications with dermal fillers need to be promptly diagnosed and treated. In the era of "whatsup- and selfie-based" communication between patients and physicians, unpredicted bias can occur, delaying the diagnosis and treatment.
Materials / method: We present a case of ischemic event diagnosed 5 days after HA filler injection.
A day by day course including the treatment and the conclusions drawn, are presented and discussed, based on the published literature.
Conclusion: Conclusions drawn from the case presented:
1: Believe your patient. “Terrible pain” always means something is wrong, even if you do not see anything on the selfie
2: Always ask the patient to remove make up before taking selfie
3: Previous surgical interventions can increase the predisposition for arterial cannulation
4: Whatever anatomical explanation is, when you see ischemic event, treat it as ischemic event
5. Cannula is safer than a needle, but can penetrate artery especially in the scarred tissue
6. It is never too late for generous infiltration of hyaluronidase
Disclosures
Did you receive any funding to support your research for this TOPIC?
No
Were you provided with any honoraria, payment or other compensation for your work on this study?
No
Do you have any financial relationship with any entity which may closely compete with the medications, materials or instruments covered by your study?
No
Do you own or have you applied for any patents in conjunction with the instruments, medications or materials discussed in your study?
No
This work was not supported by any direct or non direct funding. It is under the author's own responsability