This article will describe a vascular complication that arose during injection of hyaluronic acid filler to the anterior cheek. Many practitioners may not be faced with an acute presentation of a complication such as this, but it is important to be prepared for all eventualities. As such, the article will stress the importance of having the emergency kit on site so as to treat immediately, thereby re-establishing blood flow, preventing tissue anoxia, ischaemia and necrosis.1
A 35-year-old female patient presented for dermal filler injection to the anterior cheek following consultation. She had the medial and lateral cheek treated three months prior, with an appropriate volumising hyaluronic acid filler administered by another practitioner. She was happy with the medial and lateral projection of her cheeks from that procedure, but felt that she needed some projection in the anterior cheek…
