Archives of Plastic Surgery

  • 제44권4호
  • /
  • Pages.340-343
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  • 2017
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Skin Necrosis with Oculomotor Nerve Palsy Due to a Hyaluronic Acid Filler Injection

  • Lee, Jae Il (Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine) ;
  • Kang, Seok Joo (Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine) ;
  • Sun, Hook (Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine)
  • 투고 : 2016.10.25
  • 심사 : 2017.02.27
  • 발행 : 2017.07.15
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초록

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.

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참고문헌

  1. Peter S, Mennel S. Retinal branch artery occlusion following injection of hyaluronic acid (Restylane). Clin Exp Ophthalmol 2006;34:363-4. https://doi.org/10.1111/j.1442-9071.2006.01224.x
  2. Bachmann F, Erdmann R, Hartmann V, et al. The spectrum of adverse reactions after treatment with injectable fillers in the glabellar region: results from the Injectable Filler Safety Study. Dermatol Surg 2009;35 Suppl 2:1629-34. https://doi.org/10.1111/j.1524-4725.2009.01341.x
  3. Danesh-Meyer HV, Savino PJ, Sergott RC. Case reports and small case series: ocular and cerebral ischemia following facial injection of autologous fat. Arch Ophthalmol 2001;119: 777-8.
  4. Cohen JL. Understanding, avoiding, and managing dermal filler complications. Dermatol Surg 2008;34 Suppl 1:S92-9.
  5. Glaich AS, Cohen JL, Goldberg LH. Injection necrosis of the glabella: protocol for prevention and treatment after use of dermal fillers. Dermatol Surg 2006;32:276-81.
  6. Hanke CW, Higley HR, Jolivette DM, et al. Abscess formation and local necrosis after treatment with Zyderm or Zyplast collagen implant. J Am Acad Dermatol 1991;25:319-26. https://doi.org/10.1016/0190-9622(91)70200-L
  7. Schanz S, Schippert W, Ulmer A, et al. Arterial embolization caused by injection of hyaluronic acid (Restylane). Br J Dermatol 2002;146:928-9. https://doi.org/10.1046/j.1365-2133.2002.04707.x
  8. Cohen JL, Bhatia AC. The role of topical vitamin K oxide gel in the resolution of postprocedural purpura. J Drugs Dermatol 2009;8:1020-4.

피인용 문헌

  1. Filler rhinoplasty based on anatomy: The dual plane technique vol.20, pp.None, 2017, https://doi.org/10.1016/j.jpra.2019.04.002
  2. In Vitro Characterization of Hypoxia Preconditioned Serum (HPS)-Fibrin Hydrogels: Basis for an Injectable Biomimetic Tissue Regeneration Therapy vol.10, pp.2, 2017, https://doi.org/10.3390/jfb10020022
  3. Ocular complications of soft tissue filler injections: A review of literature vol.19, pp.4, 2017, https://doi.org/10.1111/jocd.13213
  4. Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection vol.19, pp.6, 2017, https://doi.org/10.1111/jocd.13403
  5. Treatment Algorithm for Hyaluronic Acid-Related Complication Based on a Systematic Review of Case Reports, Case Series, and Clinical Experience vol.13, pp.4, 2017, https://doi.org/10.1177/1943387520952687
  6. Another face of dermal fillers vol.37, pp.5, 2017, https://doi.org/10.5114/ada.2019.82859
  7. Rates of Vascular Occlusion Associated With Using Needles vs Cannulas for Filler Injection vol.157, pp.2, 2017, https://doi.org/10.1001/jamadermatol.2020.5102
  8. The clinical spectrum of periorbital vascular complications after facial injection vol.20, pp.5, 2017, https://doi.org/10.1111/jocd.14019
  9. Complications Secondary to Nonsurgical Rhinoplasty: A Systematic Review and Meta-analysis vol.165, pp.5, 2017, https://doi.org/10.1177/0194599820987827