Arch Craniofac Surg.  2019 Aug;20(4):246-250. 10.7181/acfs.2019.00059.

Minimizing tissue damage due to filler injection with systemic hyperbaric oxygen therapy

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea. sugwonkim@yonsei.ac.kr

Abstract

Recently, there is a growing interest of hyperbaric oxygen therapy in many fields of medicine. We had a 43-year-old female patient presented with severe necrosis of the nose, philtrum, and upper lip due to retrograde arterial occlusion after nasolabial fold hyaluronic acid filler injection. Our patient went through 43 sessions of systemic hyperbaric oxygen therapy from December 2, 2017 to January 18, 2018. We administered 2.8 atmosphere absolute (ATA) for 135 minutes in the first session and the remaining sessions consisted of 2.0 ATA for 110 minutes. In reporting this case, we wish to provide a warning regarding the latent risk of filler injections and share our experience about minimizing soft tissue damage in the early stages with systemic hyperbaric oxygen therapy.

Keyword

Complication; Hyperbaric oxygenation; Intra dermal injection

MeSH Terms

Adult
Atmosphere
Female
Humans
Hyaluronic Acid
Hyperbaric Oxygenation*
Lip
Nasolabial Fold
Necrosis
Nose
Hyaluronic Acid
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