Dermal fillers are widely used for facial enhancements, but improper administration can lead to serious complications. A case reported by ITV News illustrates the potential dangers when fillers are injected incorrectly, resulting in vascular occlusion and permanent scarring.
What Happened?
Maryum Mohammad underwent a routine chin filler procedure, which led to a vascular occlusion, a blockage of a blood vessel by the filler material. This blockage impeded blood flow, causing tissue death (necrosis) and resulting in permanent scarring on her chin. Initial treatments were inadequate, and unconventional remedies were suggested before she sought specialised medical care.
Understanding Vascular Occlusion
Vascular occlusion occurs when filler material blocks a blood vessel, leading to reduced blood flow and potential tissue damage. Symptoms include pain, discolouration, and numbness at the injection site. If not promptly addressed, it can result in necrosis or even blindness, depending on the affected area.
Reversal Treatment: Hyaluronidase
Hyaluronidase is an enzyme used to dissolve hyaluronic acid-based fillers, restoring blood flow in cases of vascular occlusion. Timely administration is crucial to minimise tissue damage. However, its effectiveness diminishes if not used promptly after the occlusion occurs.
Anatomical Considerations
Certain facial areas are more susceptible to complications due to their vascular anatomy. Key arteries at risk during filler injections include:
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Facial artery
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Angular artery
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Supratrochlear artery
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Infraorbital artery
Inadvertent injection into these vessels can lead to severe complications, underscoring the need for thorough anatomical knowledge by practitioners.
Risk of Permanent Scarring
Permanent scarring is a significant risk following vascular occlusion, especially if treatment is delayed. Studies indicate that untreated or severely infected wounds from such complications can lead to extensive and permanent scarring. The exact percentage varies, but the risk underscores the importance of immediate and appropriate intervention.
Ensuring Safe Aesthetic Treatments
To minimise risks associated with dermal fillers:
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Choose qualified medical professionals with extensive training in facial anatomy.
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Ensure the use of verified, pharmacy-sourced products.
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Avoid unregulated treatments and practitioners lacking proper credentials.
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Seek immediate medical attention if adverse symptoms occur post-treatment.
At Haus of Ästhetik, patient safety is our highest priority, which is why we are fully trained and equipped to manage complications such as vascular occlusion, a rare but serious risk associated with dermal filler procedures. All clinical staff are trained in complication management and have immediate access to hyaluronidase, the prescription-only enzyme used to reverse hyaluronic acid fillers and restore blood flow.
We follow national protocols, including the ACE Group World emergency guidelines, Save Face, and Tim Peace Guidance and maintain a ready-to-administer emergency kit at all times.
In the event of any suspected complication, we implement rapid assessment, dissolve treatment where appropriate, and ensure urgent referral if escalation is needed. Our aftercare protocol includes 24-hour patient access to clinical advice, follow-up reviews, and wound care support to optimise healing and minimise the risk of permanent scarring.
This structured approach reflects our commitment to ethical, medically led aesthetics.