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
Declaraciones
¿Ha recibido algún tipo de financiamiento para realizar su investigación sobre esta temática?
No
¿Ha recibido algún pago, honorario u otra compensación por su trabajo acerca de esta investigación?
No
¿Tiene vínculos financieros con alguna entidad que podría llegar a competir estrechamente con los medicamentos, materiales o instrumentos tratados en su investigación?
No
¿Posee o ha solicitado una patente relacionada a los materiales, productos o instrumentos utilizados en su investigación?
No
Este trabajo no cuenta con el apoyo de ningún financiamiento directo o indirecto. El autor asume plena responsabilidad sobre el mismo.