Dr Maisie Bishop, nurse practitioner Kelly Turner and Dr Jordan Faulkner examine the identification and treatment pathway for a vascular complication
Chin augmentation with hyaluronic acid (HA) dermal filler is a popular non-surgical treatment used to improve the length, projection, contour and shape of the chin.¹ It can restore facial balance and harmony in patients with retrognathia, microgenia, asymmetry, cleft chin and those with age-related changes, including bony resorption of the mandible, soft tissue descent and volume loss.²˒³
One of the most feared complications associated with HA filler is vascular occlusion (VO). There are encouraged steps to mitigate the risk of VO including in-depth knowledge of vascular anatomy, aspiration and placement of filler at specific anatomical depths.⁴ The chin has been widely regarded as one of the safer areas to inject.⁵ Herein we describe a case of VO in a patient with atypical anatomy of this region.
The chin is a distinct anatomical region delineated superiorly by the labiomental groove, laterally by the labiomandibular grooves and inferiorly by the submental ligaments (Figure 1).⁶ It is…
