Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections

ABSTRACT Hyaluronic acid (HA) injectable dermal filler is widely used in cosmetic procedures, but it rarely leads to pulmonary complications. We present four patients with acute pulmonary complications after HA filler injections: three with organising pneumonia and one with acute pneumonitis. All pr...

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Main Authors: Sin Nee Tan, Nai‐Chien Huan, Khairee Aqil Hairudin, Norra Harun, Shobhana Sivandan, Nizafaziasyida Fauzee Andylim, Aishah Ibrahim, Megat Razeem Abdul Razak, Muhammad Naimmuddin Abdul Azih
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Respirology Case Reports
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Online Access:https://doi.org/10.1002/rcr2.70227
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Summary:ABSTRACT Hyaluronic acid (HA) injectable dermal filler is widely used in cosmetic procedures, but it rarely leads to pulmonary complications. We present four patients with acute pulmonary complications after HA filler injections: three with organising pneumonia and one with acute pneumonitis. All presented with dyspnoea and cough; three received bilateral breast injections, and one received both breast and buttock injections. All patients received supportive management, including oxygen therapy, corticosteroids, and empirical antibiotics, whereby three responded well, but one succumbed. Clinicians ought to be vigilant of potential life‐threatening pulmonary complications related to HA filler injections, as most procedures are performed in unassuming healthcare settings where catastrophic complications are not anticipated.
ISSN:2051-3380