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

J Am Acad Dermatol. 2019 Jul 17;S0190-9622(19)32392-8. doi: 10.1016/j.jaad.2019.07.032. Online ahead of print.


Background: Hyaluronic acid fillers are known for a reliable safety profile, but complications do occur, even serious vascular adverse events .

Objective: to improve the treatment outcome after an vascular adverse event safety of hyaluronic acid filler treatments METHODS: duplex / ultrasound is used to detect the hyaluronic acid filler causing the intra-arterial obstruction RESULTS: If treated in time, one single treatment of ultrasound guided injections of hyaluronidase into the filler deposit will prevent skin necrosis.

Conclusion: As the use of duplex / ultrasound adds extra essential information, its use may become an integral part of the prevention and treatment of injection adverse events.

Keywords: hyaluronic acid filler; ultrasound; vascular adverse event.