![]() ![]() Although skin necrosis and oculomotor nerve palsy are uncommon, they are the most serious complications of augmentation rhinoplasty with filler injections. If the patient’s clinical progress could have been predicted, appropriate treatment could have minimized the complications. In the present case, the fact that the surgeon immediately recognized that the filler was injected into the blood vessel by accident and observed the subsequent clinical symptoms was important. She experienced diplopia in all directions, and extraocular movement was limited to a right gaze.Ĭolor change and edema were found in the territories of the superior trochlear artery and angular artery, such as the forehead, nasal tip, and medial side of the orbit ( Fig. On admission, ecchymosis on the left nasal ridge, ptosis of the left eye, a conjunctival injection, and a subtly dilated pupil in the left eye were observed. The orbital pain and dizziness appeared 3 hours before admission that is, during augmentation rhinoplasty with hyaluronic acid (Bellast, Dongkook Pharm. ![]() At the local clinic, the patient was injected with hyaluronidase promptly after the filler injection. This study was reviewed and approved by the Ethics Review Board of the InJe University Health Center.Ī 25-year-old female patient was admitted as an outpatient to the Plastic Surgery Department of our hospital due to experiencing severe pain, blepharoptosis, and decreased visual acuity immediately after receiving a filler injection. ![]()
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