Rapid Access Algorithm for Managing Vascular Occlusion in Hyaluronic Acid Filler Procedures: A Narrative Review
- PMID: 41026735
- DOI: 10.1097/PSN.0000000000000634
Rapid Access Algorithm for Managing Vascular Occlusion in Hyaluronic Acid Filler Procedures: A Narrative Review
Abstract
Dermal filler-based aesthetic procedures have gained widespread acceptance globally and are recognized for their safety profile; however, complications such as vascular occlusion can occur, necessitating immediate intervention. While multiple reviews have explored the mechanisms underlying these adverse events and proposed various management strategies, existing knowledge remains fragmented across numerous publications. This narrative review aimed to synthesize and consolidate the available literature into a comprehensive algorithm for managing vascular complications. By developing a rapid access algorithm specifically for filler-induced vascular occlusion, this review highlights the importance of early diagnosis and prompt intervention, which are critical for mitigating complications and enhancing patient outcomes.
Copyright © 2025 International Society of Plastic and Aesthetic Nurses. All rights reserved.
Conflict of interest statement
The authors have stated explicitly that there are no conflicts of interest in connection with this article.
References
-
- Beleznay K., Carruthers J. D. A., Humphrey S., Carruthers A., & Jones D. (2019). Update on avoiding and treating blindness from fillers: A recent review of the world literature. Aesthetic Surgery Journal, 39(6), 662–674. https://doi.org/10.1093/asj/sjz053 - DOI
-
- Borzabadi-Farahani A., Mosahebi A., & Zargaran D. (2024). A scoping review of hyaluronidase use in managing the complications of aesthetic interventions. Aesthetic Plastic Surgery, 48(6), 1193–1209. https://doi.org/10.1007/s00266-022-03207-9 - DOI
-
- Botha V. E., & Insull E. A. (2024). Causes and management of sight threatening complications of dermal filler injections: A review. Clinical and Experimental Ophthalmology, 52(3), 365–373. https://doi.org/10.1111/ceo.14362 - DOI
-
- Daher J. C., Da-Silva S. V., Campos A. C., Dias R. C. S., de Azevedo Damasio A., & Costa R. S. C. (2020). Vascular complications from facial fillers with hyaluronic acid: Preparation of a prevention and treatment protocol. Revista Brasileira de Cirurgia Plastica, 35(1), 2–7. https://doi.org/10.5935/2177-1235.2020RBCP0002 - DOI
-
- Fakih-Gomez N., Orte-aldea Del M. D. C., Poonja K., & Khanna D. (2019). Hyaluronic acid filler emergency kit. The American Journal of Cosmetic Surgery, 36(4), 183‒190. https://doi.org/10.1177/0748806818825214 - DOI
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