Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers

Leonie W. Schelke*, Peter Velthuis, Jonathan Kadouch, Arthur Swift

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

12 Citations (Scopus)
4 Downloads (Pure)

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 a vascular adverse event with use of hyaluronic acid filler treatments.

Methods: Duplex ultrasonography is used to detect the hyaluronic acid filler causing the intra-arterial obstruction.

Results: If treated in time, 1 single treatment of ultrasonographically guided injections of hyaluronidase into the filler deposit will prevent skin necrosis.

Conclusion: Because the use of duplex ultrasonography adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.

Original languageEnglish
Pages (from-to)79-85
Number of pages7
JournalJournal of the American Academy of Dermatology
Volume88
Issue number1
DOIs
Publication statusPublished - Jan 2023

Bibliographical note

Publisher Copyright: © 2019 American Academy of Dermatology, Inc.

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