High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report

The growing popularity of soft tissue filler injections has brought attention to the associated risks, particularly vascular complications, and their treatments. This case report focuses on a 34-year-old female who developed nasal skin necrosis following hyaluronic acid (HA) filler injection for nas...

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Main Authors: Marcelo Germani, Panmella Alegria, Gabriela Giro, Victor R.M. Munoz-Lora
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Journal of Oral Biology and Craniofacial Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2212426824000629
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author Marcelo Germani
Panmella Alegria
Gabriela Giro
Victor R.M. Munoz-Lora
author_facet Marcelo Germani
Panmella Alegria
Gabriela Giro
Victor R.M. Munoz-Lora
author_sort Marcelo Germani
collection DOAJ
description The growing popularity of soft tissue filler injections has brought attention to the associated risks, particularly vascular complications, and their treatments. This case report focuses on a 34-year-old female who developed nasal skin necrosis following hyaluronic acid (HA) filler injection for nasolabial fold (NLF) enhancement. Despite the careful procedure, complications emerged rapidly, emphasizing the critical importance of prompt diagnosis and intervention. A total of 10,000 turbidity reducing units (TRU) of hyaluronidase (HSE) were administered in a high-dose pulsed manner, alongside hyperbaric oxygen therapy. The patient experienced a gradual but significant improvement over 60 days. This case underscores the need for constant vigilance in aesthetic medicine and the potential consequences of even minute HA amounts, exceeding zero, in causing severe vascular events.
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series Journal of Oral Biology and Craniofacial Research
spelling doaj-art-ac72cac9cd9c4922b28d2ba74b38d7252024-11-23T06:30:50ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682024-05-01143339341High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case reportMarcelo Germani0Panmella Alegria1Gabriela Giro2Victor R.M. Munoz-Lora3Department of Periodontology and Implantology, University of Guarulhos, São Paulo, BrazilPrivate Office, São Paulo, BrazilDepartment of Periodontology and Implantology, University of Guarulhos, São Paulo, BrazilDepartment of Periodontology and Implantology, University of Guarulhos, São Paulo, Brazil; Let's HOF Academy, São Paulo, Brazil; Corresponding author. Department of periodontology and implantology, University of Guarulhos, Sao Paulo, Brazil.The growing popularity of soft tissue filler injections has brought attention to the associated risks, particularly vascular complications, and their treatments. This case report focuses on a 34-year-old female who developed nasal skin necrosis following hyaluronic acid (HA) filler injection for nasolabial fold (NLF) enhancement. Despite the careful procedure, complications emerged rapidly, emphasizing the critical importance of prompt diagnosis and intervention. A total of 10,000 turbidity reducing units (TRU) of hyaluronidase (HSE) were administered in a high-dose pulsed manner, alongside hyperbaric oxygen therapy. The patient experienced a gradual but significant improvement over 60 days. This case underscores the need for constant vigilance in aesthetic medicine and the potential consequences of even minute HA amounts, exceeding zero, in causing severe vascular events.http://www.sciencedirect.com/science/article/pii/S2212426824000629Hyaluronic acidIschemiaNecrosis
spellingShingle Marcelo Germani
Panmella Alegria
Gabriela Giro
Victor R.M. Munoz-Lora
High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
Journal of Oral Biology and Craniofacial Research
Hyaluronic acid
Ischemia
Necrosis
title High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
title_full High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
title_fullStr High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
title_full_unstemmed High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
title_short High-dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds: A case report
title_sort high dose pulsed hyaluronidase for managing nasal skin necrosis following hyaluronic acid treatment in nasolabial folds a case report
topic Hyaluronic acid
Ischemia
Necrosis
url http://www.sciencedirect.com/science/article/pii/S2212426824000629
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