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CC BY-NC 4.0 · Arch Plast Surg 2017; 44(04): 340-343
DOI: 10.5999/aps.2017.44.4.340
Case Report

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

Jae Il Lee
Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine, Busan, Korea
,
Seok Joo Kang
Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine, Busan, Korea
,
Hook Sun
Department of Plastic and Reconstructive Surgery, Busan Baik Hospital, InJe University School of Medicine, Busan, Korea
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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.

Dermal fillers - Hyaluronic Acid - Necrosis


Publication History

Received: 25 October 2016

Accepted: 27 February 2017

Article published online:
20 April 2022

© 2017. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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