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Management of impending necrosis associated with soft tissue filler injections
Steven H Dayan1, John P Arkins, Clyde C Mathison
1Chicago Center for Facial Plastic Surgery, Chicago, IL 60611, USA. sdayan@drdayan.com
Background:
As the number of soft tissue filler injections increases, the number of adverse events associated with injection may rise. Impending necrosis represents a serious complication that, if not treated correctly and timely, may have grave consequences.
Objective:
We describe a protocol utilizing hyaluronidase, nitroglycerin paste, aspirin, antacid and a topical oxygen therapy that may be used to treat impending necrosis subsequent to injection with soft tissue fillers.
Conclusion:
We have successfully treated nine post-filler injection adverse events involving impending necrosis or necrosis following both hyaluronic acid and calcium hydroxylapatite injections using our protocol.
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