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

Leonie W. Schelke; Peter Velthuis; Jonathan Kadouch; Arthur Swift

doi:10.1016/j.jaad.2019.07.032

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

Dermatology

Research output: Contribution to journal › Article › Academic › peer-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 language	English
Pages (from-to)	79-85
Number of pages	7
Journal	Journal of the American Academy of Dermatology
Volume	88
Issue number	1
DOIs	https://doi.org/10.1016/j.jaad.2019.07.032
Publication status	Published - Jan 2023

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10.1016/j.jaad.2019.07.032Licence: CC BY

PIIS0190962219323928Final published version, 426 KBLicence: CC BY

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title = "Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers",

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.",

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AU - Velthuis, Peter

AU - Kadouch, Jonathan

AU - Swift, Arthur

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N2 - 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.

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

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