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Case Reports
. 2021 Jul 1;8(1):81-86.
doi: 10.1080/23320885.2021.1933492. eCollection 2021.

Vascular complications with injection implants: treatment with hyperbaric chamber

Danuza Dias Alves  1 , Honório Sampaio Menezes  1 , Roberto Chacur  2 , Rodrigo Cadore Mafaldo  1 , Nívea Maria Bordin da Silva Chacur  2 , Leandro Dias Gomes  1 , Raíssa Nardi  1 , Gabriella Andressa Marchesin de Castro  1 , Vanessa Pletsch Brendler Borges  3 , Manuela Guimarães Dias Gomes  1
Affiliations
Case Reports

Vascular complications with injection implants: treatment with hyperbaric chamber

Danuza Dias Alves et al. Case Reports Plast Surg Hand Surg. .

Abstract

Introduction: The use of facial fillers has increased over the years because they are less invasive and present lower risks and faster results, along with shorter recovery time.

Objective: This study aimed to analyze the use of hyperbaric oxygen therapy as a possible treatment for vascular complications resulting from facial fillers.

Methodology: This is a retrospective study of a series of patients treated at with hyperbaric oxygen therapy at the Brazilian Institute for Hyperbaric Oxygen Therapy (Instituto de Oxigenoterapia Hiperbárica do Brasil), after vascular complications from facial fillers.

Conclusion: The association of oxygen therapy in a hyperbaric chamber with the conventional protocol for treating vascular occlusion from facial filler procedures was found to be effective.

Keywords: Necrosis; facial filler; treatment in a hyperbaric chamber; vascular occlusion.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
24 September 2018. Immediate post-procedure. Edema in the nasolabial folds with hematoma along the cannula. Skin presented a livedoid aspect.
Figure 2.
Figure 2.
27 September 2018. Third day after procedure. Lesions evolved to pustules in the nasal ala.
Figure 3.
Figure 3.
29 September2018. Result after the 3rd hyperbaric chamber session.
Figure 4.
Figure 4.
6 October 2018. Result after the 7th session in hyperbaric chamber. Patient was discharged from treatment because full reperfusion of the affected area had been achieved.
Figure 5.
Figure 5.
Follow-up one month after the procedure.
Figure 6.
Figure 6.
9 January 2019. Immediate post-procedure. Hematoma and skin with cyanotic/hyperemic aspect.
Figure 7.
Figure 7.
10 January 2019. Twelve hours after the procedure. Severe hyperemia in the vascular artery region and significant chin hematoma.
Figure 8.
Figure 8.
13 January 2019. Result after the 3rd session in the hyperbaric chamber.
Figure 9.
Figure 9.
5 January 2019. Result after the 5th session in the hyperbaric chamber. Patient was discharged from treatment because full reperfusion of the affected area had been achieved.
Figure 10.
Figure 10.
Follow-up one month after the procedure.
See this image and copyright information in PMC

References

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