Miss Jenny Doyle and Dr Arshi Baig explore the prevention and management of dermal filler complications, with a focus on vascular occlusion and contemporary evidence-based practice
Dermal filler treatments have become one of the most frequently performed non-surgical aesthetic procedures worldwide, with hyaluronic acid (HA) fillers accounting for the majority of injectable soft tissue augmentation treatments due to their versatility, reversibility and favourable safety profile.¹˒² Global demand for minimally invasive facial rejuvenation continues to rise, driven by increasing patient awareness, advances in filler technology and a growing emphasis on preventative and regenerative medical aesthetics.³
Although dermal fillers are widely regarded as safe when administered by appropriately trained practitioners, complications remain an unavoidable aspect of clinical practice.⁴ Most adverse events are mild and self-limiting, including bruising, swelling and transient discomfort. However, severe complications such as vascular occlusion, tissue necrosis, visual impairment…