Arch Plast Surg.  2017 Jul;44(4):340-343. 10.5999/aps.2017.44.4.340.

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

• Lee JI
• Kang SJ
• Sun H

• KMID: 2403938
• DOI: http://doi.org/10.5999/aps.2017.44.4.340

Abstract

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.

Keyword

Dermal fillers; Hyaluronic Acid; Necrosis

MeSH Terms

Adult
Blepharoptosis
Dermal Fillers
Female
Humans
Hyaluronic Acid*
Necrosis*
Oculomotor Nerve Diseases*
Oculomotor Nerve*
Rhinoplasty
Skin*
Surgeons
Visual Acuity
Dermal Fillers
Hyaluronic Acid