Dizziness and Pain After Temporal Augmentation With Hyaluronic Acid.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
01 Sep 2023
Historique:
received: 03 04 2023
accepted: 06 05 2023
medline: 31 8 2023
pubmed: 20 6 2023
entrez: 19 6 2023
Statut: ppublish

Résumé

Hyaluronic acid is a commonly used soft tissue filler. However, it has been associated with numerous complications including skin necrosis, loss of vision, and cerebral infarction. In this article, the authors have reported the case of a 25-year-old woman who presented with significant dizziness and pain in the temporal and intrahairline region after undergoing hyaluronic acid augmentation of the temple and inner temporal hairline regions. Subsequently, the patient received 4 doses of a hyaluronidase injection to dissolve the emboli. She demonstrated improvement in clinical symptoms after emboli dissolution. During the 10-month posttreatment follow-up, the patient experienced gradual relief from pain and dizziness. The use of hyaluronic acid fillers should be limited in the intrahairline region as the resulting complications can be difficult to manage.

Identifiants

pubmed: 37336475
doi: 10.1097/SCS.0000000000009481
pii: 00001665-202309000-00088
doi:

Substances chimiques

Hyaluronic Acid 9004-61-9
Dermal Fillers 0
Hyaluronoglucosaminidase EC 3.2.1.35

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

e590-e592

Informations de copyright

Copyright © 2023 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

Lee W, Oh W, Oh SM, et al. Comparative effectiveness of different interventions of perivascular hyaluronidase. Plast Reconstr Surg 2020;145:957–964
Paap MK, Milman T, Ugradar S, et al. Assessing retrobulbar hyaluronidase as a treatment for filler-induced blindness in a cadaver model. Plast Reconstr Surg 2019;144:315–320
Lin YC, Chen WC, Liao WC, et al. Central retinal artery occlusion and brain infarctions after nasal filler injection. QJM 2015;108:731–732
Kim BJ, You HJ, Jung I, et al. Ophthalmoplegia with skin necrosis after a hyaluronic acid filler injection. J Cosmet Dermatol 2020;19:1307–1310
Mckee D, Remington K, Swift A, et al. Effective rejuvenation with hyaluronic acid fillers: current advanced concepts. Plast Reconstr Surg 2019;143:1277e–1289e
Weinberg MJ, Solish N. Complications of hyaluronic acid fillers. Facial Plast Surg 2009;25:324–328
Wang HC, Yu N, Wang X, et al. Cerebral embolism as a result of facial filler injections: a literature review. Aesthet Surg J 2022;42:NP162–NP175
Fife TD, Giza C. Posttraumatic vertigo and dizziness. Semin Neurol 2013;33:238–243

Auteurs

Jun Zhuang (J)

Department of Ear Reconstruction, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing.

Qiaoyuan Zheng (Q)

College of Clinical Medicine, Fudan University, Xuhui, Shanghai.

Jintian Hu (J)

Department of Cosmetic Injection Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

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Classifications MeSH