Vascular Compromise After Filler Injection

 Pierre Andre

Paris Université Laser Skin Clinic - 157, rue de l'université 75007 Paris , France

Vascular compromise is the worst complication after filler injection.

Clinical symptoms realize a Nicolau syndrome, which is characterized by immediate pain, livedoid pattern and a few days later by the appearance of scabs and skin necrosis.

This type of complication is rare, but may be dramatic and injectors must be aware of that. A thorough knowledge of facial anatomy is mandatory to avoid the risky facial areas. The use of a flexible cannula instead of a sharp needle has much less risk of hurting vessels and must be preferred.

The support of the patient is discussed and a treatment protocol is proposed.