Impending skin necrosis after dermal filler injection: A "golden time" for first-aid intervention.

Dermatologic therapy 2017 Vol.30(2)

Hong JY, Seok J, Ahn GR, Jang YJ, Li K, Kim BJ

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Abstract

Vascular compromise with impending skin necrosis is one of the most serious potential complications. Early recognition of vascular occlusion and swift and aggressive treatment are required to avoid any irreversible changes. However, initial symptoms of a vascular event are often dismissed as simple post-procedural discomfort. If more than 3 days pass after filler injection, crust formation is initiated over the erythematous base along with a rim of fibrous tissue. Due to the replacement of normal tissues by fibrous material, the healing process may result in scar formation in spite of debridement and aggressive dressing changes. Scars often cause contracture and subsequent cosmetic disfigurement, which results in a traumatic burden to the patient. By sharing our experience of the patients with filler induced skin necrosis, we suggest that treatment should be initiated no later than 3 days after the procedure.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
합병증 skin necrosis 괴사 dict 3
시술 filler 필러 주입술 dict 2
시술 dermal filler 필러 주입술 dict 1
합병증 vascular compromise 혈관폐색 dict 1
합병증 vascular occlusion 혈관폐색 dict 1

MeSH Terms

Adult; Biocompatible Materials; Cosmetic Techniques; Dermal Fillers; Erythema; Female; First Aid; Humans; Injections, Subcutaneous; Necrosis; Skin; Time Factors; Time-to-Treatment; Treatment Outcome; Vascular Diseases; Wound Healing

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