With the increased demand for dermal filler injections, more complications and adverse events are reported. Vascular occlusion is one of the most serious complications. The need urges to adopt a powerful protocol to manage such cases. The private practice I am working for has six branches in the middle east. I tried to investigate if there were any vascular occlusion incidences through the last three years. Four cases without sufficient details were found. A protocol was adopted from a scientific reference to deal with similar cases properly. A re-audit was done after six months to test the efficiency of the suggested protocol.
References
[1]
Dominguez, S., Moshrefi, S. and Dobke, M. (2017) Treatment Protocol for Acute Arterial Occlusion Secondary to Facial Revolumization Procedures. Emergency Medicine, 49, 221-229. https://doi.org/10.12788/emed.2017.0030
[2]
Rullan, P., Olson, R. and Lee, K. (2019) The Use of Intralesional Sodium Thiosulfate to Dissolve Facial Nodules from Calcium Hydroxylapatite. Dermatologic Surgery, 46, 1366-1368. https://doi.org/10.1097/DSS.0000000000002238
[3]
Robinson, D. (2018) Dissolving Calcium Hydroxylapatite Filler with the Use of Sodium Thiosulfate: A Proof-of-Concept Clinical Study. Journal of the American Academy of Dermatology, 79, 111. https://doi.org/10.1016/j.jaad.2018.05.475
[4]
Kreymereman, P. and Miller, W. (2018) Sodium Thiosulfate Injection Dissolves Calcium Hydroxylapatite Particles: An Animal Study. Journal of the American Academy of Dermatology, 79, 265. https://doi.org/10.1016/j.jaad.2018.05.1051
