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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author 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
author_facet 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
author_sort Sin Nee Tan
collection DOAJ
description 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.
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publishDate 2025-06-01
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series Respirology Case Reports
spelling doaj-art-6417516f770a4bea8caa0eab0db6bc9a2025-08-20T02:22:05ZengWileyRespirology Case Reports2051-33802025-06-01136n/an/a10.1002/rcr2.70227Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler InjectionsSin Nee Tan0Nai‐Chien Huan1Khairee Aqil Hairudin2Norra Harun3Shobhana Sivandan4Nizafaziasyida Fauzee Andylim5Aishah Ibrahim6Megat Razeem Abdul Razak7Muhammad Naimmuddin Abdul Azih8Respiratory Unit, Medical Department Tengku Ampuan Afzan Hospital Kuantan MalaysiaDepartment of Respiratory Medicine Queen Elizabeth Hospital Kota Kinabalu MalaysiaKulliyyah of Medicine International Islamic University Malaysia Kuantan Pahang MalaysiaPathology Department Tengku Ampuan Afzan Hospital Kuantan MalaysiaRadiology Department Tuanku Ja'afar Hospital Seremban MalaysiaRespiratory Unit, Medical Department Tengku Ampuan Afzan Hospital Kuantan MalaysiaRespiratory Unit, Medical Department Tengku Ampuan Afzan Hospital Kuantan MalaysiaRespiratory Unit, Medical Department Tengku Ampuan Afzan Hospital Kuantan MalaysiaKulliyyah of Medicine International Islamic University Malaysia Kuantan Pahang MalaysiaABSTRACT 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.https://doi.org/10.1002/rcr2.70227cosmetichyaluronic acidpulmonary complications
spellingShingle 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
Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
Respirology Case Reports
cosmetic
hyaluronic acid
pulmonary complications
title Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
title_full Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
title_fullStr Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
title_full_unstemmed Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
title_short Acute Pulmonary Complications Following Cosmetic Hyaluronic Acid Dermal Filler Injections
title_sort acute pulmonary complications following cosmetic hyaluronic acid dermal filler injections
topic cosmetic
hyaluronic acid
pulmonary complications
url https://doi.org/10.1002/rcr2.70227
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