Facial fillers are extremely popular as an aesthetic procedure to temporarily reduce the depth of wrinkles or to contour faces. However, even in the hands of very experienced injectors, there is always a small possibility of vascular complications such as intra-arterial injection of filler substance.
This is a case report of a patient I treated who developed features of vascular obstruction in the right angular artery, followed by signs of impending skin necrosis after hyaluronic acid filler injection.
A 30-year-old woman was injected at my private clinic in Bristol for nose reshaping using a hyaluronic acid (HA) filler with a concentration of 20mg/ml and lidocaine, using a 25 gauge cannula. Firstly, 0.1ml of lidocaine was injected superficially on the tip of the nose to enhance the patient’s comfort the entry point of the cannula. The patient did not complain of any pain or discomfort…
