Early ultrasound for diagnosis and treatment of vascular adverse events with hyaluronic acid fillers

Abstract

Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events. To improve the treatment outcome after a vascular adverse event with use of hyaluronic acid filler treatments. Duplex ultrasonography is used to detect the hyaluronic acid filler causing the intra-arterial obstruction. If treated in time, 1 single treatment of ultrasonographically guided injections of hyaluronidase into the filler deposit will prevent skin necrosis. Because the use of duplex ultrasonography adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.