Sinelnikov M.E., Babaeva J.V., Startseva O.I., Burdin S.A. Acute vascular complications after facial contouring. Mechanisms of development, methods of prevention and treatment. Golova i sheya. Rossijskij zhurnal Head and neck Russian Journal. 2020;8(1):63–68 (in Russian).
DOI: https://doi.org/10.25792/HN.2020.8.1.63-68
Vascular complications after facial contouring require emergency medical care; they may lead to serious aesthetic and functional disorders, and in rare cases, to death. In this paper, we describe the mechanisms of formation of a blood vessel embolization after the unintentional adninistration of a filler into its lumen. To minimize the risk of serious complications, it is necessary to comply with the APH rule – Aspiration test; Pain control; High-fold and slow administration of filler. The tactics of correction of vascular complications after facial contouring has been developed. Implementation of the developed STAP-TROMB algorithm is aimed at improving blood supply to ischemic tissues in the presence of an arterial embolus. Despite the advantage of minimally invasive techniques using fillers based on hyaluronic acid, CaHA, PLLA, PMMA, autologous fat, the lack of objective methods for assessing vascular anatomy during the procedure makes this manipulation dangerous and requires highly qualified specialist. Understanding the mechanism of arterial embolization, the pathways of embolus distribution, knowledge of methods for correcting complications is the priority of the doctor performing this procedure.
Key words: acute vascular complications, arterial embolism, embolization, iatrogenic complications, contouring, cosmetology, plastic surgery, aesthetic medicine complications
Conflicts of interest. The authors have no conflicts of interest to declare. Funding. There was no funding for this study.
For citation: Sinelnikov M.E., Babaeva J.V., Startseva O.I., Burdin S.A. Acute vascular complications after facial contouring. Mechanisms of development, methods of prevention and treatment. Golova i sheya. Rossijskij zhurnal Head and neck Russian Journal. 2020;8(1):63–68 (in Russian).
The authors are responsible for the originality of the data presented and the possibility of publishing illustrative material – tables, figures, photographs of patients.