Transverse facial artery occlusion following hyaluronic acid and calcium hydroxyapatite filler injection: a case report
This case report describes a complication following the use of a filler composed of hyaluronic acid and calcium hydroxyapatite mixed in the same syringe, resulting in vascular occlusion of the right transverse facial artery. The patient developed hypopigmented macules, followed by a reticulated patt...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Dermatologia (SBD)
2025-04-01
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| Series: | Surgical & Cosmetic Dermatology |
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| Online Access: | http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v17/en_v17e20240352 |
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| author | Isabelle Ary Duque Francisco Jefferson Araújo Elias Matheus Morais Lima |
| author_facet | Isabelle Ary Duque Francisco Jefferson Araújo Elias Matheus Morais Lima |
| author_sort | Isabelle Ary Duque |
| collection | DOAJ |
| description | This case report describes a complication following the use of a filler composed of hyaluronic acid and calcium hydroxyapatite mixed in the same syringe, resulting in vascular occlusion of the right transverse facial artery. The patient developed hypopigmented macules, followed by a reticulated pattern and pustules. Treatment included prednisone, enoxaparin, and hyaluronidase. Due to worsening symptoms, including arterial obstruction confirmed by ultrasound, ultrasound-guided hyaluronidase injection and hyperbaric oxygen therapy were administered. The patient showed a favorable recovery, with regression of vascular complications. This case underscores the importance of early identification and intervention to minimize complications associated with vascular occlusion in aesthetic procedures. |
| format | Article |
| id | doaj-art-52ccdd89ae18435b82f0cfb48fc0aecb |
| institution | DOAJ |
| issn | 1984-8773 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Sociedade Brasileira de Dermatologia (SBD) |
| record_format | Article |
| series | Surgical & Cosmetic Dermatology |
| spelling | doaj-art-52ccdd89ae18435b82f0cfb48fc0aecb2025-08-20T03:16:39ZengSociedade Brasileira de Dermatologia (SBD)Surgical & Cosmetic Dermatology1984-87732025-04-011710.5935/scd1984-8773.2025170352Transverse facial artery occlusion following hyaluronic acid and calcium hydroxyapatite filler injection: a case reportIsabelle Ary Duque0Francisco Jefferson Araújo Elias1Matheus Morais Lima2Clínica Dra. Isabelle Duque, Dermatologia, Fortaleza (CE), BrasilClínica Dra. Isabelle Duque, Dermatologia, Fortaleza (CE), BrasilClínica Dra. Isabelle Duque, Dermatologia, Fortaleza (CE), BrasilThis case report describes a complication following the use of a filler composed of hyaluronic acid and calcium hydroxyapatite mixed in the same syringe, resulting in vascular occlusion of the right transverse facial artery. The patient developed hypopigmented macules, followed by a reticulated pattern and pustules. Treatment included prednisone, enoxaparin, and hyaluronidase. Due to worsening symptoms, including arterial obstruction confirmed by ultrasound, ultrasound-guided hyaluronidase injection and hyperbaric oxygen therapy were administered. The patient showed a favorable recovery, with regression of vascular complications. This case underscores the importance of early identification and intervention to minimize complications associated with vascular occlusion in aesthetic procedures.http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v17/en_v17e20240352dermal fillershyaluronoglucosaminidasearterial occlusive diseases |
| spellingShingle | Isabelle Ary Duque Francisco Jefferson Araújo Elias Matheus Morais Lima Transverse facial artery occlusion following hyaluronic acid and calcium hydroxyapatite filler injection: a case report Surgical & Cosmetic Dermatology dermal fillers hyaluronoglucosaminidase arterial occlusive diseases |
| title | Transverse facial artery occlusion following
hyaluronic acid and calcium hydroxyapatite filler
injection: a case report |
| title_full | Transverse facial artery occlusion following
hyaluronic acid and calcium hydroxyapatite filler
injection: a case report |
| title_fullStr | Transverse facial artery occlusion following
hyaluronic acid and calcium hydroxyapatite filler
injection: a case report |
| title_full_unstemmed | Transverse facial artery occlusion following
hyaluronic acid and calcium hydroxyapatite filler
injection: a case report |
| title_short | Transverse facial artery occlusion following
hyaluronic acid and calcium hydroxyapatite filler
injection: a case report |
| title_sort | transverse facial artery occlusion following hyaluronic acid and calcium hydroxyapatite filler injection a case report |
| topic | dermal fillers hyaluronoglucosaminidase arterial occlusive diseases |
| url | http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v17/en_v17e20240352 |
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